Provider Demographics
NPI:1124141130
Name:HENRY, JANET K (LMFT LPC)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:K
Last Name:HENRY
Suffix:
Gender:F
Credentials:LMFT LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 OCEAN DRIVE
Mailing Address - Street 2:1002 B
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404
Mailing Address - Country:US
Mailing Address - Phone:361-452-3839
Mailing Address - Fax:361-452-3839
Practice Address - Street 1:1002 OCEAN DR
Practice Address - Street 2:1002 B
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2119
Practice Address - Country:US
Practice Address - Phone:361-452-3839
Practice Address - Fax:361-452-3839
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11050101YM0800X
TX3391106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist