LISA HENDRICKSON
NPI 1497204507
Counselor - Professional in Middletown, NY

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since September 30, 2016

15 FORTUNE RD W, MIDDLETOWN, NY 10941(845) 692-4454 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 22, 2017, Sep 30, 2016 (2 updates tracked since 2016).

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About Lisa Hendrickson NPPES

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

LISA HENDRICKSON (NPI 1497204507) is an individual professional provider in Middletown, New York, licensed in New York (083094-1) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1497204507

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameLISA HENDRICKSON

Location Address15 FORTUNE RD WMiddletown, NY 10941-1625

Mailing Address15 Fortune Rd WScotchtown, NY 10941-1625

Phone(845) 692-4454

Sole ProprietorYes

Enumeration DateSeptember 30, 2016

Last NPPES UpdateMarch 22, 20172 updates tracked since enumeration

✔ NPI 1497204507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NY · 083094-1

15 FORTUNE RD W, Middletown, NY 10941

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Other Providers at the Same Location NPPES 20

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

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