Healthcare Provider Details

I. General information

NPI: 1417664723
Provider Name (Legal Business Name): T & E MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2022
Last Update Date: 11/04/2022
Certification Date: 11/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 POCOSHOCK PL
NORTH CHESTERFIELD VA
23235-6345
US

IV. Provider business mailing address

14231 ASHMILL DR
MIDLOTHIAN VA
23112-3597
US

V. Phone/Fax

Practice location:
  • Phone: 757-775-2966
  • Fax:
Mailing address:
  • Phone: 757-775-2966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: TREY HINES
Title or Position: OWNER
Credential:
Phone: 757-775-2966