institution
Supreme Healing Psychological Services
Psychiatric/Mental Health Nurse Practitioner in Hampton, Virginia
NPI 1083373740

Supreme Healing Psychological Services is a Psychiatric/Mental Health Nurse Practitioner based in Hampton, VA and is specialized in Psychiatric/Mental Health. Supreme Healing Psychological Services practices in Hampton, VA. The NPI Number for Supreme Healing Psychological Services is 1083373740 and holds a License No. (Virginia).

The current practice location address for Supreme Healing Psychological Services is 2101 Executive Dr Ste 370, Hampton, VA and can be reached out via phone at 757-933-5386 and via fax at 757-210-4197.

Location: 2101 Executive Dr Ste 370, Hampton, VA, 23666-2404
institution
Provider Profile Details
NPI Number
1083373740
Provider Name
Supreme Healing Psychological Services
Credential
Provider Entity Type
Organization
Address
2101 Executive Dr Ste 370, Hampton, VA, 23666-2404
Phone Number
757-933-5386
Fax Number
757-210-4197
Provider Enumeration Date
12/09/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1467020339 05 VA
institution
Provider Business Practice Location Address Details
Address
2101 Executive Dr Ste 370
City
State
Zip
23666-2404
Phone Number
757-933-5386
Fax Number
757-210-4197
person
Provider Business Mailing Address Details
Address
2101 Executive Dr Ste 370
City
State
Zip
23666-2404
Phone Number
757-933-5386
Fax Number
757-210-4197
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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