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

Simone Faith Henderson, COSMETOLOGIST

Individual provider Personal Care Attendant · NPI 1215572763

Simone Faith Henderson, COSMETOLOGIST is a Personal Care Attendant in Midlothian, Virginia. Practices as a sole proprietor and works from 2 locations. Licensed in New York and Virginia.

Licensed in
NY, VA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

11112 Hull Street Rd
Midlothian, VA 23112-3204
Phone: (917) 834-1857
Show map & directions

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

Additional practice locations (1)

  • 15910 Hillside Ave Ste B, Jamaica, NY 11432-3936 — (347) 561-9311

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X · Licence 1201134889 (VA)
Personal Care Attendant Taxonomy 3747P1801X · Licence 22WE1157758 (NY)

Record details

NPI number1215572763
Entity typeIndividual (Type 1)
GenderFemale
Credentials COSMETOLOGIST
Sole proprietorYes
NPI enumeratedNovember 7, 2019
Last updated in NPPESNovember 7, 2019

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