# HAMPTON ROADS TRAUMA AND RECOVERY TREATMENT CENTER LLC

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- **Entity:** Organization
- **Status:** 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:** 1982219044
- **Authorized official:** DESIREE DEVONNE SMITH LCSW (OWNER)
- **Authorized official phone:** (757) 532-5321

## Contact information

- **Practice address:** 4303 CAPPAHOSIC RD, GLOUCESTER, VA 23061-3300
- **Practice address phone:** (757) 524-2124
- **Mailing address:** 4303 CAPPAHOSIC RD, GLOUCESTER, VA 23061-3300
- **Mailing address phone:** (804) 213-2674

## Taxonomy

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

## Other

- **Enumeration date:** 09/14/2020
- **Last updated:** 09/02/2026