Organization
HOPEWELL FAMILY COUNSELING AND INDIVIDUAL THERAPY SERVICES
Active
Organization
HOPEWELL FAMILY COUNSELING AND INDIVIDUAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK KIRT STEVENS LCSW (CEO/OWNER)
(757) 344-4406
Entity
Organization
Contact information
Practice address
610 THIMBLE SHOALS BLVD, NEWPORT NEWS, VA 23606-2573
(757) 772-9566
(757) 772-0565
Mailing address
610 THIMBLE SHOALS BLVD, SUITE 201-B, NEWPORT NEWS, VA 23606-2573
(757) 772-9566
(757) 772-0565
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0904007351
VA
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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