Healthcare Provider Details

I. General information

NPI: 1649822818
Provider Name (Legal Business Name): THE RELATIONSHIP CENTER OF HAMPTON ROADS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2019
Last Update Date: 07/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4615 PLEASANT AVE UNIT B
NORFOLK VA
23518-1920
US

IV. Provider business mailing address

4615 PLEASANT AVE UNIT B
NORFOLK VA
23518-1920
US

V. Phone/Fax

Practice location:
  • Phone: 252-599-7070
  • Fax:
Mailing address:
  • Phone: 252-599-7070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA BURGESS HOLROYD
Title or Position: OWNER, CLINICAL DIRECTOR
Credential: PHD
Phone: 252-599-7070