| Hampton Roads Behavioral Health & Wellness Llc | |
|
3505 Shoreline Dr Portsmouth VA 23703-4031 | |
| (252) 340-1928 | |
| Not Available |
| Full Name | Hampton Roads Behavioral Health & Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3505 Shoreline Dr, Portsmouth, Virginia |
| Authorized Official Name and Position | Renee Hannah (OWNER) |
| Authorized Official Contact | 2523401928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hampton Roads Behavioral Health & Wellness Llc 3505 Shoreline Dr Portsmouth VA 23703-4031 Ph: () - | Hampton Roads Behavioral Health & Wellness Llc 3505 Shoreline Dr Portsmouth VA 23703-4031 Ph: (252) 340-1928 |
| NPI Number | 1689343998 |
|---|---|
| Provider Enumeration Date | 09/09/2021 |
| Last Update Date | 09/28/2021 |
| Certification Date | 09/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689343998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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