Search › Colorado › 1041C0700X
Javonni Henderson
NPI 1861675548 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2101 S Blackhawk St Ste 240
Aurora, CO 80014 - Phone
- (510) 256-9794
- Organisation at this address
- Psychedin
Mental Ease Llc
Circle Path, Llc
M2 Solutions Inc
Emerald Mable LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 59
Additional practice sites
- 18121 E Hampden Ave Ste C1079, Aurora, CO
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
104100000X
1041C0700X
1041C0700X
1041C0700X
171M00000X - Licence states on file
- NV, CA, TX, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado