Healthcare Provider Details

I. General information

NPI: 1184559833
Provider Name (Legal Business Name): RACHEL CATHERINE BROWN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL CATHERINE WYVILL

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 COLISEUM DR STE 315
HAMPTON VA
23666-6257
US

IV. Provider business mailing address

4001 COLISEUM DR STE 315
HAMPTON VA
23666-6257
US

V. Phone/Fax

Practice location:
  • Phone: 757-736-2500
  • Fax: 757-227-4713
Mailing address:
  • Phone: 757-736-2500
  • Fax: 757-227-4713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904011391
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: