Search › Georgia › 1041C0700X
Michelle Henriques, PH.D., LCSW, LCDC
NPI 1730420340 · on the registry since 2013
Practice
- Address
- 6600 Van Aalst Blvd
Fort Moore, GA 31905 - Phone
- (404) 644-1225
- Clinicians at this address
- 149
Additional practice sites
- 71 Portico Pl, Newnan, GA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
1041C0700X - Licence states on file
- TX, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-23
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 Georgia