TOSHIBA ANTONIA FENTRESS NPI 1710549548

NPI Information

NPI: 1710549548
Provider Name: TOSHIBA ANTONIA FENTRESS
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
3755 E VIRGINIA BEACH BLVD
NORFOLK, VA
ZIP 23502
Phone: (757) 823-1600
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Toshiba Antonia Fentress is a counselor in Norfolk, VA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Toshiba Antonia Fentress NPI is 1710549548. 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:

3755 E VIRGINIA BEACH BLVD
NORFOLK, VA
ZIP 23502-238
Phone: (757) 823-1600

The enumeration date for this NPI number is 7/2/2019 and was last updated on 7/2/2019.

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 Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	0701008414	VIRGINIA	No
2	101Y00000X	Counselor		0701008414	VIRGINIA	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: 11/14/2023

NPI Synchronization or Removal

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