Provider Demographics
NPI:1841956596
Name:STOKES, ANTENETTE DO'LYN (LPC, NCC, QMHP-C)
Entity type:Individual
Prefix:MS
First Name:ANTENETTE
Middle Name:DO'LYN
Last Name:STOKES
Suffix:
Gender:F
Credentials:LPC, NCC, QMHP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4027 MACARTHUR AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-4062
Mailing Address - Country:US
Mailing Address - Phone:804-239-0229
Mailing Address - Fax:833-399-1090
Practice Address - Street 1:4027 MACARTHUR AVE APT 4
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-4062
Practice Address - Country:US
Practice Address - Phone:804-239-0229
Practice Address - Fax:833-390-1090
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-16
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0733002751101YM0800X
VA0701011004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health