| Peninsula Outreach Family Counseling Llc | |
|
1915 Seward Dr Hampton VA 23663-1122 | |
| (804) 835-1799 | |
| Not Available |
| Full Name | Peninsula Outreach Family Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1915 Seward Dr, Hampton, Virginia |
| Authorized Official Name and Position | Sheqwana Geneva Rogers (CEO/OWNER) |
| Authorized Official Contact | 8048351799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Outreach Family Counseling Llc 1915 Seward Dr Hampton VA 23663-1122 Ph: (804) 835-1799 | Peninsula Outreach Family Counseling Llc 1915 Seward Dr Hampton VA 23663-1122 Ph: (804) 835-1799 |
| NPI Number | 1568031706 |
|---|---|
| Provider Enumeration Date | 06/22/2021 |
| Last Update Date | 04/30/2022 |
| Certification Date | 04/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568031706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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