Healthcare Provider Details

I. General information

NPI: 1649134339
Provider Name (Legal Business Name): ACENTOS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4410 CLAIBORNE SQ E STE 334
HAMPTON VA
23666-2074
US

IV. Provider business mailing address

4410 CLAIBORNE SQ E STE 334
HAMPTON VA
23666-2074
US

V. Phone/Fax

Practice location:
  • Phone: 757-255-8841
  • Fax:
Mailing address:
  • Phone: 757-255-8841
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: LAURA GONZALEZ
Title or Position: OWNER
Credential: LPC
Phone: 757-255-8841