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MR. REGINALD QUENTINE HENDERSON SR. CSAC-I
NPI 1811149099
Counselor - Addiction (Substance Use Disorder) in Durham, NC

Active since October 19, 2008
3622 LYCKAN PKWY STE 6008, DURHAM, NC 27707(919) 381-6816(919) 381-6818 Get Directions Write a Review

NPPES record last updated: April 22, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Reginald Quentine Henderson Sr. Csac-i NPPES

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

MR. REGINALD QUENTINE HENDERSON SR. CSAC-I (NPI 1811149099) is an individual addiction (substance use disorder) provider in Durham, North Carolina and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1811149099
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. REGINALD QUENTINE HENDERSON SR.Credential: CSAC-I
Location Address3622 LYCKAN PKWY STE 6008Durham, NC 27707-2570
Mailing Address1613 Bivins StDurham, NC 27707-1523 · (919) 224-9458
Phone(919) 381-6816
Fax(919) 381-6818
Sole ProprietorNo
Enumeration DateOctober 19, 2008
Last NPPES UpdateApril 22, 2009
✔ NPI 1811149099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3622 LYCKAN PKWY STE 6008, Durham, NC 27707
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Other Providers at the Same Location NPPES 2

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

SHERITA CREWS MA
Counselor (Mental Health)
3622 LYCKAN PKWY STE 6008
DURHAM, NC 27707
Durham County (919) 381-6816
ONUORAH NWOGALANYA
Social Worker (Clinical)
3622 LYCKAN PKWY STE 6008
DURHAM, NC 27707
Durham County (919) 381-6816

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 Reginald Henderson's NPI number?

The NPI number for Reginald Henderson is 1811149099. It was assigned to this individual provider in the NPPES registry on October 19, 2008.

Where is Reginald Henderson located?

Reginald Henderson practices at 3622 Lyckan Pkwy Ste 6008, Durham, NC 27707. The listed phone number is (919) 381-6816.

What is Reginald 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 Reginald Henderson was last updated on April 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.