Quality Of Life Counseling Center Llc | |
1 Enterprise Pkwy Ste 315 Hampton VA 23666-5845 | |
(757) 998-2100 | |
(757) 998-2101 |
Full Name | Quality Of Life Counseling Center Llc |
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Speciality | Community/behavioral Health |
Location | 1 Enterprise Pkwy Ste 315, Hampton, Virginia |
Authorized Official Name and Position | Deuene Hickman (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9102631887 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Quality Of Life Counseling Center Llc 1 Enterprise Pkwy Ste 315 Hampton VA 23666-5845 Ph: (757) 998-2100 | Quality Of Life Counseling Center Llc 1 Enterprise Pkwy Ste 315 Hampton VA 23666-5845 Ph: (757) 998-2100 |
NPI Number | 1033516448 |
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Provider Enumeration Date | 12/01/2014 |
Last Update Date | 05/03/2024 |
Certification Date | 05/03/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033516448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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