# PHENOMENAL CARE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578330544
- **Authorized official:** GWENDOLYN ROSE MBUVI LMFT (OWNER)
- **Authorized official phone:** (804) 413-9037

## Contact information

- **Practice address:** 15 RESEARCH DR STE A, HAMPTON, VA 23666-1324
- **Practice address phone:** (804) 413-9037
- **Mailing address:** 5007C VICTORY BLVD \# 177, YORKTOWN, VA 23693-5601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/08/2023
- **Last updated:** 12/12/2023