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BLUE RIDGE BEHAVIORAL HEALTHCARE NPI 1679717151


NPI Information

NPI: 1679717151
Provider Name: BLUE RIDGE BEHAVIORAL HEALTHCARE
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 49D1092086

Address:
302 2ND ST SW FL 2
ROANOKE, VA
ZIP 24011
Phone: (540) 345-6781
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BLUE RIDGE BEHAVIORAL HEALTHCARE is a community behavioral health in Roanoke, VA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. BLUE RIDGE BEHAVIORAL HEALTHCARE NPI is 1679717151. The provider is registered as an organization entity type.

The provider's business location address is:

302 2ND ST SW FL 2
ROANOKE, VA
ZIP 24011-514
Phone: (540) 345-6781
Fax: (540) 344-3578

The provider's authorized official is Tim Steller .
The authorized official title is Executive Director and has the following contact phone number (540) 345-9841.

The CLIA number assigned to this NPI record is 49D1092086 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/28/2009 and was last updated on 4/28/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health0904006919VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11437137734MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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