KATHY A. HENDERSON CAC-1
NPI 1235309394
Substance Abuse Rehabilitation Facility in Detroit, MI

Q: What is Kathy Henderson's NPI number?

The NPI number for Kathy Henderson is 1235309394. It was assigned to this individual provider in the NPPES registry on March 5, 2008.

Q: What is Kathy Henderson's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Q: When was this NPI record last updated?

The NPPES record for Kathy Henderson was last updated on March 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 05, 2008

19941 GALLAGHER ST., DETROIT, MI 48234(313) 331-8990 Get Directions Write a Review

NPPES record last updated: March 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kathy A. Henderson Cac-1 NPPES

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

KATHY A. HENDERSON CAC-1 (NPI 1235309394) is an individual substance abuse rehabilitation facility provider in Detroit, Michigan, licensed in Michigan (1-00030) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1235309394

Entity TypeIndividualFemale

Primary Taxonomy324500000X

Provider Legal NameKATHY A. HENDERSONCredential: CAC-1

Location Address19941 GALLAGHER ST.Detroit, MI 48234-1655

Mailing Address19941 Gallagher StDetroit, MI 48234-1655 · (313) 331-8990 · Fax (313) 331-6375

Phone(313) 331-8990

Sole ProprietorYes

Enumeration DateMarch 5, 2008

✔ NPI 1235309394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in MI · 1-00030

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

19941 GALLAGHER ST., Detroit, MI 48234

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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 Kathy Henderson's NPI number?

The NPI number for Kathy Henderson is 1235309394. It was assigned to this individual provider in the NPPES registry on March 5, 2008.

Where is Kathy Henderson located?

Kathy Henderson practices at 19941 Gallagher St., Detroit, MI 48234. The listed phone number is (313) 331-8990.

What is Kathy Henderson's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Kathy Henderson was last updated on March 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.