| NPI | 1659133783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JONES-HICKS Owner/Therapist 757-880-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 104100000X Social Worker | |
| 225X00000X Occupational Therapist | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2025-04-19 |