Provider Demographics
NPI:1033822523
Name:HIRES, ALISHA (RESIDENT IN MARRIAGE)
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:HIRES
Suffix:
Gender:F
Credentials:RESIDENT IN MARRIAGE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 CHEVAL CIR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-6003
Mailing Address - Country:US
Mailing Address - Phone:757-239-4626
Mailing Address - Fax:
Practice Address - Street 1:1425 CHEVAL CIR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-6003
Practice Address - Country:US
Practice Address - Phone:757-239-4626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-30
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0730000669106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist