MS. DERONDA VYNETTE TERRY LPC NPI 1639265085

NPI Information

NPI: 1639265085
Provider Name: MS. DERONDA VYNETTE TERRY, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
6005 PARK AVE STE 630B
MEMPHIS, TN
ZIP 38119
Phone: (901) 767-1136
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MS. Deronda Vynette Terry, LPC is a professional counselor in Memphis, TN. MS. Deronda Vynette Terry, LPC NPI is 1639265085. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6005 PARK AVE STE 630B
MEMPHIS, TN
ZIP 38119-226
Phone: (901) 767-1136

The enumeration date for this NPI number is 10/5/2006 and was last updated on 9/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	101Y00000X	Counselor			No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)		No
3	101YM0800X	Counselor	Mental Health		No
4	101YP2500X	Counselor	Professional	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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