Provider Demographics
NPI:1114804671
Name:SOWELL, CHARITY A (LMT)
Entity type:Individual
Prefix:
First Name:CHARITY
Middle Name:A
Last Name:SOWELL
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:CHARITY
Other - Middle Name:A
Other - Last Name:CARPENTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:217 POCAHONTAS PL
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23661-2919
Mailing Address - Country:US
Mailing Address - Phone:757-915-1593
Mailing Address - Fax:
Practice Address - Street 1:1220 MERCHANT LN STE C
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-2167
Practice Address - Country:US
Practice Address - Phone:757-825-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019020049225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist