MRS. STEPHANIE MICHELLE RENEA HENDERSON (NPI# 1417388463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417388463 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE MICHELLE RENEA HENDERSON |
| Credential | LPC |
| Practice Address |
224 Great Bridge Blvd Chesapeake VA 23320-3904 |
| Practice Telephone | 7575479334 |
| Practice Fax Number | 7578196292 |
| Mailing Telephone | 7575479334 |
| Mailing Fax Number | 7578196292 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0701005509 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325581 | Stephanie Henderson | Social Worker | 301 England St # 485, Ashland, VA 23005-2109 | 2020-08-09 |
| 1518496520 | Stephanie Leigh Henderson | Speech-Language Pathologist | 9990 Richmond Ave Ste 201s, Houston, TX 77042-4559 | 2017-06-05 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1699318329 | Stephanie Danielle Henderson | Nurse Practitioner | 5113 Wayland Dr, Odessa, TX 79762-5520 | 2019-10-25 |
| 1861968810 | Stephanie Henderson | Physician Assistant | 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 | 2018-10-17 |
| 1639678857 | Stephanie Henderson | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2018-02-02 |
| 1750836540 | Stephanie Henderson | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2016-08-22 |
| 1982073243 | Stephanie Deshae Henderson | Social Worker | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2015-09-16 |
| 1235490293 | Stephanie Ann Henderson | Dentist | 5053 Tuttle Crossing Blvd, Dublin, OH 43016-1533 | 2012-06-06 |
| 1982997284 | Stephanie Diane Henderson | Obstetrics & Gynecology | 348 E 4500 S Ste 200, Salt Lake City, UT 84107 | 2011-05-18 |
| Street Address |
224 GREAT BRIDGE BLVD |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114912623 | John G. Uhlar | Social Worker | 224 Great Bridge Blvd, Chesapeake, VA 23320-3904 | 2005-09-12 |
| 1861090425 | Shawn Barnwell | Social Worker | 224 Great Bridge Blvd, Chesapeake, VA 23320-3904 | 2020-10-15 |
| 1740896299 | Stacey Fernandes | Counselor | 224 Great Bridge Blvd, Chesapeake, VA 23320-3904 | 2020-09-21 |
| 1154933737 | Sharon M. Black | Counselor | 224 Great Bridge Blvd, Chesapeake, VA 23320-3904 | 2020-08-17 |
| 1790394328 | Shaun Beam | Counselor | 224 Great Bridge Blvd, Chesapeake, VA 23320-3904 | 2020-07-29 |
| 1023637394 | Jacquelyn Feliciano | Social Worker | 224 Great Bridge Blvd, Chesapeake, VA 23320-3904 | 2020-04-15 |
| 1235760570 | Danielle Artis | Social Worker | 224 Great Bridge Blvd, Chesapeake, VA 23320-3904 | 2020-01-27 |
| 1639710908 | Ashley M Phillips | Counselor | 224 Great Bridge Blvd, Chesapeake, VA 23320-3904 | 2019-10-08 |
| 1942856901 | Elizabeth Carlson | Counselor | 224 Great Bridge Blvd, Chesapeake, VA 23320-3904 | 2019-08-15 |
| 1881250983 | Sonya Jimerson | Counselor | 224 Great Bridge Blvd, Chesapeake, VA 23320-3904 | 2019-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1568947356 | Kelly M Muchetti | Massage Therapist | 1421 C. Kempsville Rd., Chesapeake, VA 23320 | 2018-09-27 |
| 1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
| 1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
| 1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
| Find all providers in zip 23320 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232280 | Anitra Holloway | Counselor | 2030 Christian Ave, Chesapeake, VA 23324-2332 | 2020-10-12 |
| 1841801289 | Delaina Joy Szafraniec | Counselor | 432 Rose Garden Ln, Chesapeake, VA 23320-6773 | 2020-08-10 |
| 1811527500 | Revitalife Therapy & Counseling LLC | Counselor | 1101 Executive Blvd Ste B, Chesapeake, VA 23320-3634 | 2020-01-22 |
| 1912546391 | Nicole M Hornef | Counselor | 325 Volvo Pkwy Ste B, Chesapeake, VA 23320-4724 | 2020-01-02 |
| 1205473634 | Stephanie Simpson | Counselor | 729 Aguila Dr, Chesapeake, VA 23322-8032 | 2019-12-04 |
| 1942764642 | Sarah Mines | Counselor | 1736 South Park Ct, St 201, Chesapeake, VA 23320-8922 | 2019-01-27 |
| 1669943429 | Latarsha Batiste | Counselor | 2105 Silverberry Dr Apt 103, Chesapeake, VA 23321-3267 | 2018-12-05 |
| 1285102954 | Toni Yvette Rudisill | Counselor | 3210 Churchland Blvd Ste 2, Chesapeake, VA 23321-5253 | 2018-11-11 |
| 1306340609 | David Walter Hunt IIi | Counselor | 3437 Bruin Dr, Chesapeake, VA 23321-4747 | 2018-03-21 |
| 1922451186 | Natasha M Beckum | Counselor | 1204 King Arthur Dr, Chesapeake, VA 23323-2824 | 2016-07-22 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
Please comment or provide details below to improve the information on MRS. STEPHANIE MICHELLE RENEA HENDERSON.
| 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.