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

Tylie Shae Henderson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1366034878

Tylie Shae Henderson is an Addiction (Substance Use Disorder) Counselor in Kahuku, Hawaii. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

56-660 Kamehameha Hwy
Kahuku, HI 96731-2210
Phone: (801) 822-6716
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1366034878
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 5, 2021
Last updated in NPPESFebruary 5, 2021
Certification dateFebruary 5, 2021
Mailing address1484 N 950 W, Lehi, UT 84043-1099

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