Individual
DEENA A TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11357 NUCKOLS RD # 1101, GLEN ALLEN, VA 23059-5504
(804) 918-5572
(888) 348-3804
Mailing address
11357 NUCKOLS RD # 1101, GLEN ALLEN, VA 23059-5504
(845) 200-6685
(888) 348-3804
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0904009847
VA
101YM0800X
Mental Health Counselor
0904009847
VA
101YM0800X
Mental Health Counselor
44SC05933600
NJ
1041C0700X
Clinical Social Worker
Primary
0904009847
VA
1041C0700X
Clinical Social Worker
44SC05933600
NJ
171000000X
Military Health Care Provider
0904009847
VA
171000000X
Military Health Care Provider
44SC05933600
NJ
171M00000X
Case Manager/Care Coordinator
0904009847
VA
171M00000X
Case Manager/Care Coordinator
44SC05933600
NJ
222Q00000X
Developmental Therapist
0904009847
VA
222Q00000X
Developmental Therapist
44SC05933600
NJ
251B00000X
Case Management Agency
0904009847
VA
251B00000X
Case Management Agency
44SC05933600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0738140
—
NJ
01
—
0904009847
VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
VA
05
—
0904009847
—
VA
01
—
44SC05933600
NEW JERSEY STATE BOARD OF SOCIAL WORK EXAMINERS
NJ
05
—
44SC05933600
—
NJ
05
—
66016359
—
VA
Enumeration date
05/15/2013
Last updated
02/26/2026
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