Provider Demographics
NPI:1649822818
Name:THE RELATIONSHIP CENTER OF HAMPTON ROADS
Entity type:Organization
Organization Name:THE RELATIONSHIP CENTER OF HAMPTON ROADS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:BURGESS
Authorized Official - Last Name:HOLROYD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:252-599-7070
Mailing Address - Street 1:4615 PLEASANT AVE UNIT B
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23518-1920
Mailing Address - Country:US
Mailing Address - Phone:252-599-7070
Mailing Address - Fax:
Practice Address - Street 1:4615 PLEASANT AVE UNIT B
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23518-1920
Practice Address - Country:US
Practice Address - Phone:252-599-7070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health