Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Henderson Behavioral Health, Inc

Organization Family Medicine Physician · NPI 1972454528

Henderson Behavioral Health, Inc is a Family Medicine Physician in Hollywood, Florida. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1957 Jackson St
Hollywood, FL 33020-5021
Phone: (954) 486-4005
Fax: (954) 497-3857
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1972454528
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHenderson Behavioral Health, Inc
Authorized official Carol Loman — Director Of Billing · (954) 486-4005
NPI enumeratedFebruary 9, 2026
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026
Mailing address4740 N State Road 7 Ste 201, Lauderdale Lakes, FL 33319-5839

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