Terrell, Deena A

Terrell, Deena A is an sole proprietor health care provider with primary practice located at 11357 Nuckols Rd # 1101 , Glen Allen VA 23059-5504. She recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Military Health Care Provider, Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Agencies / Case Management. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Terrell, Deena A can be contacted via phone (804) 918-5572.

Contact Information

Primary practice address
11357 Nuckols Rd # 1101 Glen Allen VA 23059-5504
Phone: (804) 918-5572
Fax: (888) 348-3804
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0904009847 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0904009847 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 44SC05933600 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05933600 New Jersey
Other Service Providers / Military Health Care Provider 171000000X 0904009847 Virginia
Other Service Providers / Military Health Care Provider 171000000X 44SC05933600 New Jersey
Other Service Providers / Case Manager/Care Coordinator 171M00000X 0904009847 Virginia
Other Service Providers / Case Manager/Care Coordinator 171M00000X 44SC05933600 New Jersey
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X 0904009847 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X 44SC05933600 New Jersey
Agencies / Case Management 251B00000X 0904009847 Virginia
Agencies / Case Management 251B00000X 44SC05933600 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904009847 Virginia

Profile Details

NPI number 1669818811
LBN Legal business name Terrell, Deena A
Credentials LCSW, SAP, BC-TMH
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2013
Last updated Apr 6th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669818811 NPPES
Virginia MEDICAID 66016359
Virginia MEDICAID 0738140
Virginia MEDICAID 44SC05933600
Virginia Other 44SC05933600
Virginia MEDICAID 0904009847
Virginia Other 0904009847

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