Phenomenal Care, Llc | |
15 Research Dr Ste A Hampton VA 23666-1324 | |
(804) 413-9037 | |
Not Available |
Full Name | Phenomenal Care, Llc |
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Speciality | Marriage & Family Therapist |
Location | 15 Research Dr Ste A, Hampton, Virginia |
Authorized Official Name and Position | Gwendolyn Rose Mbuvi (OWNER) |
Authorized Official Contact | 8044139037 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Phenomenal Care, Llc 5007c Victory Blvd # 177 Yorktown VA 23693-5601 Ph: () - | Phenomenal Care, Llc 15 Research Dr Ste A Hampton VA 23666-1324 Ph: (804) 413-9037 |
NPI Number | 1578330544 |
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Provider Enumeration Date | 12/08/2023 |
Last Update Date | 12/12/2023 |
Certification Date | 12/12/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578330544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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