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PHAEDRA HENDERSON
NPI 1770952772
Counselor - Addiction (Substance Use Disorder) in Mesa, AZ

Active since September 19, 2015
32 S MACDONALD, MESA, AZ 85210(480) 969-1471(480) 269-9426 Get Directions Write a Review

NPPES record last updated: September 19, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phaedra Henderson NPPES

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

PHAEDRA HENDERSON (NPI 1770952772) is an individual addiction (substance use disorder) provider in Mesa, Arizona and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1770952772
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePHAEDRA HENDERSON
Location Address32 S MACDONALDMesa, AZ 85210-1310
Mailing Address32 S MacdonaldMesa, AZ 85210-1310 · (480) 969-1471 · Fax (480) 269-9426
Phone(480) 969-1471
Fax(480) 269-9426
Sole ProprietorNo
Enumeration DateSeptember 19, 2015
✔ NPI 1770952772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
32 S MACDONALD, Mesa, AZ 85210
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Other Providers at the Same Location NPPES 17

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

ELBERT FARMER
Counselor (Addiction (Substance Use Disorder))
32 S MACDONALD
MESA, AZ 85210
Maricopa County (480) 696-1471
MS. ANDREA BROOKE GIESE BHT
Counselor (Addiction (Substance Use Disorder))
32 S MACDONALD
MESA, AZ 85210
Maricopa County (480) 969-1471
KEITH HOWARD
Counselor (Addiction (Substance Use Disorder))
32 S MACDONALD
MESA, AZ 85210
Maricopa County (480) 969-1471
MISS MARY CATHERINE ONEIL LPC
Counselor (Professional)
32 S MACDONALD, SUITES AAND B
MESA, AZ 85210
Maricopa County (480) 969-1471
SUSANA LENOX LCSW
Social Worker (Clinical)
32 S MACDONALD
MESA, AZ 85210
Maricopa County (480) 969-1471
DIANE SILLMAN RN
Registered Nurse (Addiction (Substance Use Disorder))
32 S MACDONALD
MESA, AZ 85210
Maricopa County (480) 969-1471
JUAN ANTONIO RODRIGUEZ
Contractor
32 S MACDONALD
MESA, AZ 85210
Maricopa County (480) 969-1471
LINDA S. DOMIANO L.I.S.A.C.
Counselor (Addiction (Substance Use Disorder))
32 S MACDONALD
MESA, AZ 85210
Maricopa County (480) 969-1471

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 Phaedra Henderson's NPI number?

The NPI number for Phaedra Henderson is 1770952772. It was assigned to this individual provider in the NPPES registry on September 19, 2015.

Where is Phaedra Henderson located?

Phaedra Henderson practices at 32 S Macdonald, Mesa, AZ 85210. The listed phone number is (480) 969-1471.

What is Phaedra Henderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Phaedra Henderson was last updated on September 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.