MRS. TISHA LYNETTE WARDRETT-NELSON


Address: 780 Lynnhaven Pkwy Ste 370, Virginia Beach, VA 23452-7353
Phone: 7572558845

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
0704013075 VA Behavioral Health & Social Service Providers

Office Location

Street Address 780 LYNNHAVEN PKWY STE 370
City VIRGINIA BEACH
State VA
Zip Code 23452-7353

Providers in the same location

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

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NPI Name Taxonomy Address Enumeration
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1174056014 Samantha Brown Behavior Technician 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 2017-04-07
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City VIRGINIA BEACH
Zip Code 23452

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Dataset Information

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.

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