Ase' Revival Telepsychiatry Llc
Specialty details in registry · Hampton, VA
At a glance
4410 East Claiborne Square, Suite 334,, Hampton, VA 23666
NPPES record updated Oct 9, 2025. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
4410 East Claiborne Square, Suite 334,Hampton, VA 23666
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 363LP0808X
- Enumeration date
- Oct 9, 2025
- Record updated
- Oct 9, 2025
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Nurse Practitioner
363L00000X
Specialty details in registry
363LP0808X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
4410 East Claiborne Square, Suite 334,Hampton, VA 23666
- Phone
- (804) 933-1463
- Fax
- (757) 520-4668
Mailing address
110 COLISEUM XING # 5228HAMPTON, VA 236665971
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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