# HAMPTON ROADS BEHAVIORAL HEALTH & WELLNESS LLC

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

## Provider details

- **NPI number:** 1689343998
- **Authorized official:** RENEE HANNAH (OWNER)
- **Authorized official phone:** (252) 340-1928

## Contact information

- **Practice address:** 3505 SHORELINE DR, PORTSMOUTH, VA 23703-4031
- **Practice address phone:** (252) 340-1928
- **Mailing address:** 3505 SHORELINE DR, PORTSMOUTH, VA 23703-4031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2021
- **Last updated:** 09/28/2021
