MIND GARDEN ROANOKE PLLC NPI 1831839604

NPI Information

NPI: 1831839604
Provider Name: MIND GARDEN ROANOKE PLLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
402 CAMPBELL AVE SW
ROANOKE, VA
ZIP 24016
Phone: (540) 765-8696
Get Directions

MIND GARDEN ROANOKE PLLC is a mental health (including community mental health center) clinic center in Roanoke, VA. MIND GARDEN ROANOKE PLLC NPI is 1831839604. The provider is registered as an organization entity type.

The provider's business location address is:

402 CAMPBELL AVE SW
ROANOKE, VA
ZIP 24016-627
Phone: (540) 765-8696

The provider's authorized official is Celia Mccauley-wittl .
The authorized official title is Owner/operator and has the following contact phone number (540) 765-8696.

The enumeration date for this NPI number is 3/30/2022 and was last updated on 3/30/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251S00000X	Community/Behavioral Health		No
2	261QM0850X	Clinic/Center	Adult Mental Health	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
4	363LF0000X	Nurse Practitioner	Family	No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »