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

Individual provider Peer Specialist · NPI 1003763764

Angela E Henderson, BS, CPSS is a Peer Specialist in Fayetteville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2026
Specialties on file
2
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

6591 Brookshire St
Fayetteville, NC 28314-5115
Phone: (910) 490-8309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health & Wellness Coach (primary) Taxonomy 171400000X
Peer Specialist Taxonomy 175T00000X · Licence M2024-12866-01 (NC)

Record details

NPI number1003763764
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS , CPSS
Sole proprietorYes
NPI enumeratedMarch 12, 2026
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

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