Provider Demographics
NPI:1538406244
Name:HENNING AND ASSOCIATES INC
Entity type:Organization
Organization Name:HENNING AND ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:HAYNES
Authorized Official - Last Name:HENNING
Authorized Official - Suffix:
Authorized Official - Credentials:QP
Authorized Official - Phone:704-923-8360
Mailing Address - Street 1:1002 PHILADELPHIA CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:NC
Mailing Address - Zip Code:28034-7684
Mailing Address - Country:US
Mailing Address - Phone:704-923-8360
Mailing Address - Fax:704-923-8364
Practice Address - Street 1:145 AZALEA WAY
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-2409
Practice Address - Country:US
Practice Address - Phone:828-693-5385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children