Coretta D Henderson , MSW
Counselor • Brandon, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Coretta Henderson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Coretta Henderson, MSW was a registered Counselor practicing in Brandon, FL. Throughout an active medical career spanning 5 years, Coretta Henderson provided care at the practice location at 301 GREENVIEW DR until profile deactivation on 2023-01-25.
Practice Location & Contact Primary Location
301 Greenview Dr
Brandon, FL 335103231
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Brandon, FL
Practicing in Brandon, FL (3441 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 25, 2023
NPI status registered as active in NPPES database
Registered at 301 GREENVIEW DR, BRANDON, FL 335103231 (Tel: 8135300264)
Registered at 301 GREENVIEW DR, BRANDON, FL 335103231 (Tel: 8135300264)
Recorded as CORETTA HENDERSON, MSW
Counselor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
301 Greenview Dr
Brandon, FL 335103231
Phone: 8135300264
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