Provider Type Icon

MBHS OF KENBRIDGE LLC NPI 1972940880

NPI Profile

NPI: 1972940880

Provider Name: MBHS OF KENBRIDGE, LLC

Doing Business As: KENBRIDGE YOUTH ACADEMY

Classification: Clinic/Center - 261QM0855X

Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
231 HICKORY RD
KENBRIDGE, VA
ZIP 23944

Phone: (454) 676-1378

MBHS OF KENBRIDGE, LLC is an adolescent and children mental health clinic/center in Kenbridge, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. 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.

Map - Location of Practice

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 License Number License State Primary
1 261QM0855X Clinic/Center Adolescent and Children Mental Health 2139 VIRGINIA No
2 322D00000X Residential Treatment Facility, Emotionally Disturbed Children 2136-14-001 VIRGINIA 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: 6/10/2015