MEDICARE: HENNA PATEL, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1679421457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENNA PATEL, LLC

Provider Business Mailing Address
First Line	:	4109 CHAUVIN LN
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-2058
Country	:	US
Telephone Number	:	901-412-4070
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 AUBURN AVE STE D
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-5196
Country	:	US
Telephone Number	:	318-478-8180
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HENNA PATEL
Credential	:	LPC
Telephone Number	:	901-412-4070

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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