| Manifest Therapy Llc | |
|
618 Burton St Hampton VA 23666-2164 | |
| (757) 262-6784 | |
| Not Available |
| Full Name | Manifest Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 618 Burton St, Hampton, Virginia |
| Authorized Official Name and Position | Trina Michelle Laverty (OWNER) |
| Authorized Official Contact | 7572626784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manifest Therapy Llc 618 Burton St Hampton VA 23666-2164 Ph: (757) 262-6784 | Manifest Therapy Llc 618 Burton St Hampton VA 23666-2164 Ph: (757) 262-6784 |
| NPI Number | 1639012388 |
|---|---|
| Provider Enumeration Date | 04/09/2026 |
| Last Update Date | 04/29/2026 |
| Certification Date | 04/29/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639012388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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