1. Home
  2. Directory
  3. Florida
  4. Lauderdale Lakes
  5. Clinic Center
  6. NPI Profile

HENDERSON BEHAVIORAL HEALTH, INC.
NPI 1043880156
Clinic/Center - Community Health in Lauderdale Lakes, FL

Active since June 30, 2021CLIA 10D2295281 · Waiver
4720 N STATE ROAD 7 BLDG B, LAUDERDALE LAKES, FL 33319(954) 485-8888(954) 497-3856 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Henderson Behavioral Health, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HENDERSON BEHAVIORAL HEALTH, INC. (NPI 1043880156) is a healthcare organization registered as a community health in Lauderdale Lakes, Florida and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through December 6, 2027 and lists Carol Loman, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1043880156
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameHENDERSON BEHAVIORAL HEALTH, INC.
Location Address4720 N STATE ROAD 7 BLDG BLauderdale Lakes, FL 33319-5860
Mailing Address4740 N State Road 7 Ste 201Lauderdale Lakes, FL 33319-5839 · (954) 497-3856 · Fax (954) 497-3857
Phone(954) 485-8888
Fax(954) 497-3856
Organization SubpartNo
Authorized OfficialCarol LomanBilling Supervisor · (954) 497-3856
Enumeration DateJune 30, 2021
NPPES CertifiedJune 30, 2021
✔ NPI 1043880156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
4720 N STATE ROAD 7 BLDG B, Lauderdale Lakes, FL 33319
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2295281

Henderson Behavioral Health Inc · Lauderdale Lakes, FL
Active · expires Dec 6, 2027
CLIA Number10D2295281
Laboratory TypeHome Health Agency
Certificate Effective DateDecember 7, 2025
Certificate Expiration DateDecember 6, 2027
Laboratory DirectorMaria A. Gorelick
Laboratory Phone(954) 730-7284
Laboratory LocationHenderson Behavioral Health Inc4720 N State Road 7 Bldg B, Lauderdale Lakes, FL 33319
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY J O'CONNOR LCSW
Social Worker (Clinical)
4720 N STATE ROAD 7 BLDG B
LAUDERDALE LAKES, FL 33319
Broward County (954) 497-3850
FAITH STEINMAN SCHWEIGER LMHC
Counselor (Mental Health)
4720 N STATE ROAD 7 BLDG B
LAUDERDALE LAKES, FL 33319
Broward County (954) 463-0911
LOVE DIANA E ANDIEU LCSW
Counselor (Mental Health)
4720 N STATE ROAD 7 BLDG B
LAUDERDALE LAKES, FL 33319
Broward County (954) 606-0911
DIANA ROUSSO LMHC
Counselor (Mental Health)
4720 N STATE ROAD 7 BLDG B
LAUDERDALE LAKES, FL 33319
Broward County (954) 730-7284
CHRISTOPHER R LOCKE PHD, MSW, LCSW, ACSW
Counselor (Mental Health)
4720 N STATE ROAD 7 BLDG B
LAUDERDALE LAKES, FL 33319
Broward County (954) 486-4005
JACQUELINE I GOMEZ
Counselor (Mental Health)
4720 N STATE ROAD 7 BLDG B
LAUDERDALE LAKES, FL 33319
Broward County (954) 463-0911
GAYLE FRANCES COULTON LMHC
Counselor (Mental Health)
4720 N STATE ROAD 7 BLDG B
LAUDERDALE LAKES, FL 33319
Broward County (954) 463-0911
NADINE R GREENE LCSW
Counselor (Mental Health)
4720 N STATE ROAD 7 BLDG B
LAUDERDALE LAKES, FL 33319
Broward County (954) 606-0911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henderson Behavioral Health, Inc.'s NPI number?

The NPI number for Henderson Behavioral Health, Inc. is 1043880156. It was assigned to this organization in the NPPES registry on June 30, 2021.

Where is Henderson Behavioral Health, Inc. located?

Henderson Behavioral Health, Inc. is located at 4720 N State Road 7 Bldg B, Lauderdale Lakes, FL 33319. The listed phone number is (954) 485-8888.

What is Henderson Behavioral Health, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Henderson Behavioral Health, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2295281) is associated with this NPI, valid through December 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Henderson Behavioral Health, Inc. was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.