CUMBERLAND MOUNTAIN COMMUNITY SERVICES NPI 1093882003

NPI Information

  • NPI: 1093882003
  • Provider Name: CUMBERLAND MOUNTAIN COMMUNITY SERVICES
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Other Name: THE LAURELS
  • CLIA Number: 49D0687137
  • Address: 102 KEMP STREET
    LEBANON, VA
    ZIP 24266
  • Phone: (276) 889-3063

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NPI Details

CUMBERLAND MOUNTAIN COMMUNITY SERVICES is a substance abuse rehabilitation facility in Lebanon, VA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. CUMBERLAND MOUNTAIN COMMUNITY SERVICES NPI is 1093882003. The provider is registered as an organization entity type.
The provider Other Name Is The Laurels.

The provider's business location address is:

102 KEMP STREET
LEBANON, VA
ZIP 24266
Phone: (276) 889-3063
Fax: (276) 889-5005

The provider's authorized official is Jane A Peay .
The authorized official title is Substance Abuse Director and has the following contact phone number (276) 964-6702.

The CLIA number assigned to this NPI record is 49D0687137 - public health laboratories with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/29/2006 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
1324500000XSubstance Abuse Rehabilitation Facility09301006VIRGINIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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