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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