| Organization Name: | LAURA S HENDERSON LMSW PLLC |
| NPI Number: | 1841624327 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURA S HENDERSON (OWNER) |
| Mailing Address: | 43200 Dequindre Rd Ste 104 Sterling Hts |
| State: | MI US |
| Postal Code: | 483141707 |
| Phone Number: | 5867994350 |
| Fax Number: | 5867994279 |
| NPI Enumeration Date: | 09/03/2013 |
| NPI Last Update Date: | 09/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801068425 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |