Provider Demographics
NPI:1306672514
Name:CALLENDER, NAKEA ASHANTI (RN, QMHP)
Entity type:Individual
Prefix:
First Name:NAKEA
Middle Name:ASHANTI
Last Name:CALLENDER
Suffix:
Gender:F
Credentials:RN, QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4062 GROVE POINT DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-1119
Mailing Address - Country:US
Mailing Address - Phone:804-630-1666
Mailing Address - Fax:
Practice Address - Street 1:3018 STOCKLEIGH LN
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-7148
Practice Address - Country:US
Practice Address - Phone:804-630-1666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0732011129101YA0400X
VA0001236362163WP0808X, 251J00000X, 163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No251J00000XAgenciesNursing Care