BERNETTA RODGERS QUINN (NPI# 1710467097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710467097 |
| Entity Type | Individual |
| Full Name | BERNETTA RODGERS QUINN |
| Other Name | MS. BERNETTA RODGERS QUINN |
| Practice Address |
612 S Sycamore St Ste B Petersburg VA 23803-5837 |
| Mailing Address |
1045 Gustavo Ln Petersburg VA 23805-2356 |
| Practice Telephone | 8048983524 |
| Practice Fax Number | 8048956487 |
| Mailing Telephone | 8047214287 |
| Mailing Fax Number | 8048956487 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2013 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1245652544 | 05 |
| Street Address |
612 S SYCAMORE ST STE B |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23803-5837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523719 | Wise Journey Ltd | Home Health | 325-b Brown Street Suite 132, Petersburg, VA 23803 | 2019-08-14 |
| 1386101699 | Marliqua Barnes | Driver | 601 Carter St, Petersburg, VA 23803 | 2019-02-22 |
| 1356596571 | Quality Healthcare Inc | Community/Behavioral Health | 6111 Duncan Rd, Ste F, Petersburg, VA 23803 | 2008-12-02 |
| 1861614943 | Peoples Family Dental Care | Dentist | 1328 W Washington St, Petersburg, VA 23803 | 2007-05-02 |
| 1841333721 | Family Preservation Services, Inc | Community/Behavioral Health | 1000 Patterson Ave, Petersburg, VA 23803 | 2007-02-14 |
| 1154473155 | Progressive Adult Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 114 North Union Street, Suite B, Petersburg, VA 23803 | 2007-01-18 |
| 1861556615 | Evelyn V. Whitehead | Counselor | 115 E Wythe St, Petersburg, VA 23803 | 2006-12-19 |
| 1538248778 | Raymond Gibson Smith Jr. | Dentist | Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 | 2006-11-06 |
| 1396842282 | Eugene Arthur Richardson IIi | Dentist | 23 Shore Street, Petersburg, VA 23803 | 2006-09-20 |
| 1679594030 | Olumuyiwa Akinniyi Ojediran | Internal Medicine | 734 South Sycamore Street, Petersburg, VA 23803 | 2006-07-21 |
| Find all providers in zip 23803 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801426291 | Patrice Nicole Shuford | Counselor | 1430 Farmer St, Petersburg, VA 23803-3941 | 2020-01-24 |
| 1538705025 | Tyechia Michelle Parker | Counselor | 20 W Bank St Ste 8, Petersburg, VA 23803-3279 | 2019-11-20 |
| 1124548581 | Healthyminds, Inc. | Counselor | 1250 E Washington St, Petersburg, VA 23803-3465 | 2017-06-26 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1679996870 | Jovat Bates | Counselor | 444 Pine Ridge Rd, Petersburg, VA 23805-1320 | 2014-01-24 |
| 1831521095 | Julie Baldock Timberlake | Counselor | 21 Walnut Blvd, Suites 1-3, Petersburg, VA 23805-2109 | 2013-07-30 |
| 1053671461 | Rizing Starz,llc | Counselor | 31c South Jefferson St, Petersburg, VA 23803-4331 | 2012-05-18 |
| 1871874867 | Jay Stanton Gregor | Counselor | 15, 12th St., Petersburg, AK 99833-2155 | 2011-09-02 |
| 1215172341 | Reginald Maurice Hill | Counselor | 20 W Bank St Ste 1, Petersburg, VA 23803-3279 | 2008-12-03 |
| 1063669414 | Therapeutic In Home Counseling | Counselor | 1949 Vesonder Rd, Petersburg, VA 23805-2933 | 2008-08-27 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23803 |
Please comment or provide details below to improve the information on BERNETTA RODGERS QUINN.
| 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.