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Organization
HAMPTON ROADS TRAUMA AND RECOVERY TREATMENT CENTER LLC
Active
Organization
HAMPTON ROADS TRAUMA AND RECOVERY TREATMENT CENTER LLC
Active
Other names
Hampton Roads Trauma and Recovery Treatment Center LLC, Hazel Gray Foundation, Painted Bird Psychotherapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE DEVONNE SMITH LCSW (OWNER)
(757) 532-5321
Entity
Organization
Contact information
Practice address
4303 CAPPAHOSIC RD, GLOUCESTER, VA 23061-3300
(757) 524-2124
Mailing address
4303 CAPPAHOSIC RD, GLOUCESTER, VA 23061-3300
(804) 213-2674
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/02/2026
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