MRS. TISHA LYNETTE WARDRETT-NELSON (NPI# 1205446242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205446242 |
| Entity Type | Individual |
| Full Name | MRS. TISHA LYNETTE WARDRETT-NELSON |
| Other Name | TISHA LYNETTE WARDRETT |
| Credential | MS |
| Practice Address |
780 Lynnhaven Pkwy Ste 370 Virginia Beach VA 23452-7353 |
| Mailing Address |
344 Adwood Ct Hampton VA 23605-1450 |
| Practice Telephone | 7572558845 |
| Mailing Telephone | 7572558845 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0704013075 | VA | Behavioral Health & Social Service Providers |
| Street Address |
780 LYNNHAVEN PKWY STE 370 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452-7353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891341905 | Chad Honeycutt | Behavioral Analyst | 780 Lynnhaven Pkwy Ste 370, Virginia Beach, VA 23452-7353 | 2019-08-14 |
| 1114537230 | Courtney J. Connor | Behavior Technician | 780 Lynnhaven Pkwy Ste 370, Virginia Beach, VA 23452-7353 | 2020-08-04 |
| 1730704107 | Emalee Anne Zingher | Counselor | 780 Lynnhaven Pkwy Ste 370, Virginia Beach, VA 23452-7353 | 2020-06-11 |
| 1538710876 | Laura Cheever | Behavioral Analyst | 780 Lynnhaven Pkwy Ste 370, Virginia Beach, VA 23452-7353 | 2019-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318937 | Paula Elkin | Counselor | 217 Coltan Ave Apt 101, Virginia Beach, VA 23462-4575 | 2020-05-23 |
| 1568084937 | Dayspring Wellness Pllc | Counselor | 1301 First Colonial Rd Ste 200, Virginia Beach, VA 23454-2263 | 2020-05-08 |
| 1528688652 | Luon M Fletcher | Counselor | 3629 Forrester Ln, Virginia Beach, VA 23452-3114 | 2020-04-18 |
| 1629606785 | Caroline Minto | Counselor | 509 Old Great Neck Rd Ste 203, Virginia Beach, VA 23454-3358 | 2020-04-01 |
| 1396381620 | Heather Louise Butler | Counselor | 258 N Witchduck Rd Ste 1b, Virginia Beach, VA 23462-6556 | 2019-11-21 |
| 1184268500 | D'nita Marie Spann | Counselor | 297 Independence Blvd Ste 423, Virginia Beach, VA 23462-2837 | 2019-10-29 |
| 1639731664 | Stephanie Bradley-blue | Counselor | 615 N Birdneck Rd, Virginia Beach, VA 23451-6368 | 2019-06-29 |
| 1558922468 | Turquoise Tamara Rawlings-perrin | Counselor | 6410 Duquesne Pl, Virginia Beach, VA 23464-4433 | 2019-06-23 |
| 1447819115 | Sheryl L. Losick-smith | Counselor | 2000 Basswood Ct, Virginia Beach, VA 23453-5927 | 2019-06-06 |
| 1225696370 | Helen Irene Runyan | Counselor | 1000 Regent University Dr # Drive225, Virginia Beach, VA 23464-5037 | 2019-06-04 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
Please comment or provide details below to improve the information on MRS. TISHA LYNETTE WARDRETT-NELSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.