Provider Demographics
NPI:1588054761
Name:THE HUMAN ELEMENT
Entity type:Organization
Organization Name:THE HUMAN ELEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:DOYLE
Authorized Official - Last Name:HAUER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:757-398-3200
Mailing Address - Street 1:3100 LONDON BLVD
Mailing Address - Street 2:#1
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23707-3402
Mailing Address - Country:US
Mailing Address - Phone:757-398-3200
Mailing Address - Fax:757-398-3211
Practice Address - Street 1:3100 LONDON BLVD
Practice Address - Street 2:#1
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3402
Practice Address - Country:US
Practice Address - Phone:757-398-3200
Practice Address - Fax:757-398-3211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-27
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005094101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty