Cooper, Teawanna

Cooper, Teawanna is an individual health care provider with primary practice located at 900 Commonwealth Pl Ste 200 , Virginia Beach VA 23464-4530. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Cooper, Teawanna can be contacted via phone (757) 788-3033.

Contact Information

Primary practice address
900 Commonwealth Pl Ste 200 Virginia Beach VA 23464-4530
Phone: (757) 788-3033
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0732009862 Virginia

Profile Details

NPI number 1427340876
LBN Legal business name Cooper, Teawanna
Credentials LCSWR QMHP-A/C M.ED.
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2011
Last updated Feb 9th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427340876 NPPES
Virginia Other 853474580 IRS

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