Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amazing Star Group Home Corporation

Organization Health Service Psychologist · NPI 1184081739

Amazing Star Group Home Corporation is a Health Service Psychologist in Norfolk, Virginia. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

861 Glenrock Rd Ste 114
Norfolk, VA 23502-3720
Phone: (757) 706-2273
Fax: (757) 893-9266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Psychologist (primary) Taxonomy 103TH0100X

Record details

NPI number1184081739
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Etute — Pres/Ceo · (757) 706-2273
NPI enumeratedJanuary 26, 2016
Last updated in NPPESJanuary 26, 2016
Mailing address861 Glenrock Rd, Suite 114, Norfolk, VA 23502-3720

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