Organization
HAMPTON ROAD FAMILY SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA PINNOCK (PRESIDENT)
(757) 644-7025
Entity
Organization
Contact information
Practice address
1000 LECKIE ST, PORTSMOUTH, VA 23704-1904
(757) 399-4742
Mailing address
1000 LECKIE ST, PORTSMOUTH, VA 23704-1904
(757) 399-4742
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
0701004522
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003141227
—
VA
Enumeration date
10/19/2010
Last updated
06/14/2011
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