SOUTHAMPTON BEHAVIORAL HEALTHCARE LLC NPI 1063545176

NPI Information

NPI: 1063545176
Provider Name: SOUTHAMPTON BEHAVIORAL HEALTHCARE, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
100 FAIRVIEW DR
BLDG. 2, SUITE 200-B
FRANKLIN, VA
ZIP 23851
Phone: (757) 569-0007
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SOUTHAMPTON BEHAVIORAL HEALTHCARE, LLC is a mental health counselor in Franklin, VA. SOUTHAMPTON BEHAVIORAL HEALTHCARE, LLC NPI is 1063545176. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 FAIRVIEW DR
BLDG. 2, SUITE 200-B
FRANKLIN, VA
ZIP 23851-238
Phone: (757) 569-0007
Fax: (757) 569-0011

The provider's authorized official is Wayne G. Reed, .
The authorized official title is Owner and has the following contact phone number (757) 569-0007.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 8/22/2020.

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	101YM0800X	Counselor	Mental Health	0701003254	VIRGINIA	Yes
2	101YM0800X	Counselor	Mental Health	3450	NORTH CAROLINA	X
3	2084P0800X	Psychiatry & Neurology	Psychiatry	0101050005	VIRGINIA	X

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	186337	OTHER	VIRGINIA	ANTHEM BCBS
2	368995	OTHER	VIRGINIA	MHN
3	069022	OTHER	VIRGINIA	VALUEOPTIONS
4	186340	OTHER	VIRGINIA	ANTHEM BCBS
5	548467	OTHER	VIRGINIA	VALUEOPTIONS
6	O86305M	OTHER	VIRGINIA	SBHS

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

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