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MBHS OF KENBRIDGE LLC NPI 1972940880


NPI Information

NPI: 1972940880
Provider Name: MBHS OF KENBRIDGE, LLC

Doing Business As: KENBRIDGE YOUTH ACADEMY

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
231 HICKORY RD
KENBRIDGE, VA
ZIP 23944
Phone: (454) 676-1378
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MBHS OF KENBRIDGE, LLC is a residential treatment facility emotionally disturbed children in Kenbridge, VA. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. MBHS OF KENBRIDGE, LLC NPI is 1972940880. The provider is registered as an organization entity type.
The provider Is Doing Business As Kenbridge Youth Academy.

The provider's business location address is:

231 HICKORY RD
KENBRIDGE, VA
ZIP 23944-503
Phone: (454) 676-1378

The provider's authorized official is Patricia Hamilton .
The authorized official title is Chief Administrative Officer and has the following contact phone number (454) 676-1378.

The enumeration date for this NPI number is 5/31/2013 and was last updated on 6/6/2013.


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
1261QM0855XClinic/CenterAdolescent and Children Mental Health2139VIRGINIANo
2322D00000XResidential Treatment Facility, Emotionally Disturbed Children2136-14-001VIRGINIAYes

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: 11/14/2023

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