MEDICARE: ALEXIS HAHN PSYCHOLOGICAL SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1104776756
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEXIS HAHN PSYCHOLOGICAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	440 MONTICELLO AVE STE 1802
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23510-2670
Country	:	US
Telephone Number	:	814-254-2694
Fax Number	:

Provider Business Practice Location Address
First Line	:	249 CENTRAL PARK AVE
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-3099
Country	:	US
Telephone Number	:	814-254-2694
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	ALEZIS HAHN
Credential	:
Telephone Number	:	814-254-2694

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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