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

Mr. Micah Shane Hendrickson, MA

Individual provider Mental Health Counselor · NPI 1063887164

Mr. Micah Shane Hendrickson, MA is a Mental Health Counselor in Avon Park, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

See every abbreviation used in this directory →

Practice location Address checks out

2523 US Highway 27 S Ste 130
Avon Park, FL 33825-7744
Phone: (863) 452-0710
Fax: (863) 452-0142
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH13683 (FL)

Record details

NPI number1063887164
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedDecember 1, 2015
Last updated in NPPESDecember 1, 2015

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