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Contact Information

GLORI M HENDERSON, QMHP,ADMINISTRATOR
2013 N ARMISTEAD AVE APT E16
HAMPTON, VA23666-3499
 Phone: 984-289-7325
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
 

Licensed Vocational Nurse

164X00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for GLORI M HENDERSON · (Female)

NPI Number 1225847635
Status Active
Credentials QMHP,ADMINISTRATOR
Entity Individual
Enumeration date 01/01/2025
Last updated 01/01/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 76840
  • VA License # 0734012512
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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