Provider Demographics
NPI:1306696232
Name:HAGAR CLINICAL AND THERAPEUTIC SERVICES LLC
Entity type:Organization
Organization Name:HAGAR CLINICAL AND THERAPEUTIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CELESTAL
Authorized Official - Middle Name:LOVE
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP-R
Authorized Official - Phone:757-715-0246
Mailing Address - Street 1:15 SUMMITT LN
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-2284
Mailing Address - Country:US
Mailing Address - Phone:757-715-0246
Mailing Address - Fax:
Practice Address - Street 1:15 SUMMITT LN
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-2284
Practice Address - Country:US
Practice Address - Phone:757-715-0246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health