| Organization Name: | JANICE L. HENDRYX |
| NPI Number: | 1003174608 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANICE L HENDRYX (LICENSED CLINICAL SOCIAL WORKER) |
| Mailing Address: | 3908 N Peniel Ave Suite 420 Bethany |
| State: | OK US |
| Postal Code: | 730083458 |
| Phone Number: | 4056033265 |
| Fax Number: | 4056036624 |
| NPI Enumeration Date: | 05/02/2012 |
| NPI Last Update Date: | 06/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 4205 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |