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NPI Code Detail

MEDICARE: HAMPTON ROADS BEHAVIORAL HEALTH,PC

MEDICARE: HAMPTON ROADS BEHAVIORAL HEALTH,PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1356394696
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAMPTON ROADS BEHAVIORAL HEALTH,PC
Provider Business Mailing Address
First Line : 1500 E LITTLE CREEK RD
Second Line : SUITE 205
City : NORFOLK
State : VA
Zip : 23518-4137
Country : US
Telephone Number : 757-587-4744
Fax Number : 757-587-4947
Provider Business Practice Location Address
First Line : 1500 E LITTLE CREEK RD
Second Line : SUITE 205
City : NORFOLK
State : VA
Zip : 23518-4137
Country : US
Telephone Number : 757-587-4744
Fax Number : 757-587-4947
Authorized Official
Title or Position : ADMINISTRATOR
Name : DR. LEWIS J TAYLOR
Credential : PHD
Telephone Number : 757-587-4744
Provider Enumeration Date : 05/18/2006
Last Update Date : 08/22/2020

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Directions to “HAMPTON ROADS BEHAVIORAL HEALTH,PC ” Practice Location

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