Healthcare Provider Details

I. General information

NPI: 1134543382
Provider Name (Legal Business Name): COUNSELING CENTER OF HAMPTON ROADS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2014
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4505 COLUMBUS ST STE 200
VIRGINIA BEACH VA
23462-6781
US

IV. Provider business mailing address

4505 COLUMBUS ST STE 200
VIRGINIA BEACH VA
23462-6781
US

V. Phone/Fax

Practice location:
  • Phone: 757-222-4944
  • Fax: 757-544-9880
Mailing address:
  • Phone: 757-222-4944
  • Fax: 757-544-9880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701004673
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number0701004673
License Number StateVA

VIII. Authorized Official

Name: ERICA ANEL SARTWELL
Title or Position: OWNER
Credential: LPC
Phone: 757-222-4944