| Family Preservation Services | |
|
205 Laketower Dr. Hampton VA 23666 | |
| (757) 838-8520 | |
| (757) 838-8528 |
| Full Name | Family Preservation Services |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 205 Laketower Dr., Hampton, Virginia |
| Authorized Official Name and Position | Kimberly Speed (FAMILY THERAPY SUPERVISOR) |
| Authorized Official Contact | 7578388520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Preservation Services 205 Laketower Drive Hampton VA 23666 Ph: (757) 838-8520 | Family Preservation Services 205 Laketower Dr. Hampton VA 23666 Ph: (757) 838-8520 |
| NPI Number | 1164635132 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164635132 | NPI | - | NPPES |
| O802678M | Other | VA | OPTIMA |
| 294478 | Other | VA | BLUE CROSS BLUE SHIELD |
| 383405 | Other | VA | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701003898 (Virginia) | Primary |
| 106H00000X | Marriage & Family Therapist | 0717001103 (Virginia) | Primary |
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