MEDICARE: GAYE DRENELLE ENGLAND LMHP-R

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XM0800X	Mental Health Occupational Therapist
2	101Y00000X	Counselor	0704016380	VA

General Provider Information

NPI Number	:	1912712464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAYE DRENELLE ENGLAND LMHP-R

Provider Business Mailing Address
First Line	:	141 WINDSOR AVENUE
Second Line	:	N/A
City	:	COLONIAL HEIGHTS
State	:	VA
Zip	:	23834
Country	:	US
Telephone Number	:	804-366-2519
Fax Number	:

Provider Business Practice Location Address
First Line	:	141 WINDSOR AVENUE
Second Line	:	N/A
City	:	COLONIAL HEIGHTS
State	:	VA
Zip	:	23834-2383
Country	:	US
Telephone Number	:	804-366-2519
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2025
Last Update Date	:	02/11/2025

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