| Phenomenal Care, Llc | |
|
15 Research Dr Ste A Hampton VA 23666-1324 | |
| (804) 413-9037 | |
| Not Available |
| Full Name | Phenomenal Care, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 15 Research Dr Ste A, Hampton, Virginia |
| Authorized Official Name and Position | Gwendolyn Rose Mbuvi (OWNER) |
| Authorized Official Contact | 8044139037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phenomenal Care, Llc 5007c Victory Blvd # 177 Yorktown VA 23693-5601 Ph: () - | Phenomenal Care, Llc 15 Research Dr Ste A Hampton VA 23666-1324 Ph: (804) 413-9037 |
| NPI Number | 1578330544 |
|---|---|
| Provider Enumeration Date | 12/08/2023 |
| Last Update Date | 12/12/2023 |
| Certification Date | 12/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578330544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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