Organization
JTRR SUPPORT SEVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKA HAYES (LMHP-R)
(757) 805-2882
Entity
Organization
Contact information
Practice address
207 W 36TH ST, NORFOLK, VA 23504-1306
(757) 904-1541
Mailing address
207 W 36TH ST, NORFOLK, VA 23504-1306
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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