Most Relevant Information
Provider Data
| NPI Number: | 1003503418 |
| Provider Name: | MISTY HENDERSON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/18/2023 |
| Last Updated: | 04/18/2023 |
Provider Practice Location
395 N MAIN ST
PARIS
TX
754604253
Practice Location Phone/Fax
| Phone: | 9037372475 |
| Fax: | 9037372479 |
Provider Mailing Location
PO BOX 747
TERRELL
TX
751600014
Provider Mailing Phone/Fax
| Phone: | 9725244159 |
| Fax: |