Provider Demographics
NPI:1972955391
Name:WINDER, TENESHIA (PHD)
Entity Type:Individual
Prefix:
First Name:TENESHIA
Middle Name:
Last Name:WINDER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 LIBERTY DR
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-2641
Mailing Address - Country:US
Mailing Address - Phone:302-727-6750
Mailing Address - Fax:
Practice Address - Street 1:101 WELLNESS WAY STE 200
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-4394
Practice Address - Country:US
Practice Address - Phone:302-430-0867
Practice Address - Fax:302-430-0421
Is Sole Proprietor?:No
Enumeration Date:2016-07-09
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LMFT-LIC-32409106H00000X
DEFT-0000049106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist