Provider Demographics
NPI:1003380312
Name:STYLES, TENERA (NCC, LPC)
Entity Type:Individual
Prefix:
First Name:TENERA
Middle Name:
Last Name:STYLES
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:TENERA
Other - Middle Name:
Other - Last Name:EVERETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NCC, LPC
Mailing Address - Street 1:1401 S 31ST ST FL 2
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-3506
Mailing Address - Country:US
Mailing Address - Phone:215-925-2400
Mailing Address - Fax:215-925-9162
Practice Address - Street 1:5000 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19143-5137
Practice Address - Country:US
Practice Address - Phone:215-726-9807
Practice Address - Fax:215-726-0424
Is Sole Proprietor?:No
Enumeration Date:2019-01-20
Last Update Date:2019-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009408101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional