Organization
RAINBOW PSYCHOTHERAPY & HYPNOSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALIE B. POHL (OFFICE MANAGER)
(757) 495-4616
Entity
Organization
Contact information
Practice address
5265 PROVIDENCE RD., SUITE 103, VA BEACH, VA 23464-4206
(757) 495-4616
Mailing address
5265 PROVIDENCE RD., SUITE 103, VA BEACH, VA 23464
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
0904-001271
VA
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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