Provider Demographics
NPI:1023507688
Name:HAROLD, SENTORIA H (LCSW)
Entity type:Individual
Prefix:
First Name:SENTORIA
Middle Name:H
Last Name:HAROLD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SENTORIA
Other - Middle Name:HOWELL
Other - Last Name:HAROLD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:920 VENTURES WAY STE 4
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2883
Mailing Address - Country:US
Mailing Address - Phone:757-752-5743
Mailing Address - Fax:
Practice Address - Street 1:920 VENTURES WAY STE 4
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320
Practice Address - Country:US
Practice Address - Phone:757-752-5743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-08
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904104681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical