Healthcare Provider Details

I. General information

NPI: 1073319752
Provider Name (Legal Business Name): DEFENDERS OF RESILIENCE MILITARY MINISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2025
Last Update Date: 02/22/2025
Certification Date: 02/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 BEACH RD
HAMPTON VA
23664-2043
US

IV. Provider business mailing address

154 BEACH RD
HAMPTON VA
23664-2043
US

V. Phone/Fax

Practice location:
  • Phone: 469-463-0365
  • Fax:
Mailing address:
  • Phone: 469-463-0365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: ELEANOR FINNEY
Title or Position: FOUNDER/ EXECUTIVE DIRECTOR
Credential:
Phone: 469-463-0365