Provider Demographics
NPI:1023522547
Name:HAMPTON ROADS FAMILY SERVICES LLC
Entity type:Organization
Organization Name:HAMPTON ROADS FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LENORE
Authorized Official - Middle Name:MONESHA
Authorized Official - Last Name:HERON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-291-8033
Mailing Address - Street 1:336 HOLYOKE LN
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-4058
Mailing Address - Country:US
Mailing Address - Phone:631-291-8033
Mailing Address - Fax:
Practice Address - Street 1:1226 PROGRESSIVE DR STE 202
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2847
Practice Address - Country:US
Practice Address - Phone:631-291-8033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-20
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health