Individual provider · Type 1 NPI

Glori Mae Henderson, QMHP, ADMINISTRATOR

Licensed Practical Nurse · Hampton, VA

NPI number 1225847635 Active

Practice location

2013 N Armistead Ave Apt E16
Hampton, VA 23666-3499

Call (984) 289-7325 Map

Mailing address

4243 Lake Woodard Dr
Raleigh, NC 27604-1071

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	0734012512 (VA)
Licensed Vocational Nurse	164X00000X	76840 (NC)
Licensed Practical Nurse Primary	164W00000X	76840 (NC)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1225847635

Glori Mae Henderson, QMHP, ADMINISTRATOR's National Provider Identifier is 1225847635, issued on Jan 1, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Hampton, VA. The record was last updated on Jan 1, 2025.