IndividualActive
Lakisha Henderson, LICENSED NURSE
NPI 1043651367 · Addiction (Substance Use Disorder) Registered Nurse · Dallas, TX
Provider details
- NPI number
- 1043651367
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) Registered NurseNursing Service Providers
- Credential
- LICENSED NURSE
- Sex
- Female
- Sole proprietor
- No
- License
- 300712 (TX)
Specialties & taxonomies
Nursing Service Providers
Practice location
2619 S. Lancaster Rd
Dallas, TX 75216
Phone: (214) 376-7388
Fax: (214) 376-7899
Approximate (ZIP-level) locationGet directions
Mailing address
3543 Rio Grande Cir
Dallas, TX 75233-2553
Registry dates
- Enumerated
- 2013-07-15
- Last updated
- 2020-04-21
- Certified
- 2020-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.