DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MITZI HENDERSON, LCSW

Active Sole Proprietor

Clinical Social Worker · RUSSELLVILLE, AR

Registration Details

NPI Number
1366877623
Provider Type
Individual
Gender
Female
NPI Issued
Sep 5, 2013 (12.653903259453 yrs)
Last Updated
Sep 8, 2021
License
7671-C (AR)
Sole Proprietor
Yes

Practice Information

Address
500 W MAIN ST STE 302
RUSSELLVILLE, AR, 728013630
Browse AR providers · Browse ZIP 72801
Phone
4792640606
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in RUSSELLVILLE, AR

Name Credential NPI
MR. JON LUNDQUIST L.C.S.W. 1962481010
TRACY L BAXLEY TULLOS LCSW 1124120712
CHRISTINE P GUSTUS MSW/LCSW 1770686750
AUDRA RENAE HATCHETT LCSW 1093804106
TESSA RIFFELL LCSW 1043309131
BRANDI LEIGH ROGERS LCSW 1316005408
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.