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Organization

PHENOMENAL CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GWENDOLYN ROSE MBUVI LMFT (OWNER)
(804) 413-9037
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
12/08/2023
Last updated
12/12/2023
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