DICKENSON COUNTY BEHAVIORAL HEALTH SERVICES NPI 1649209990

NPI Information

NPI: 1649209990
Provider Name: DICKENSON COUNTY BEHAVIORAL HEALTH SERVICES

Former Legal Business Name: DICKENSON COUNTY COMMUNITY SERVICES BOARD

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 49D2198758

Address:
440 FOX TOWN RD
CLINTWOOD, VA
ZIP 24228
Phone: (276) 926-1682
Get Directions

DICKENSON COUNTY BEHAVIORAL HEALTH SERVICES is a mental health (including community mental health center) clinic center in Clintwood, VA. DICKENSON COUNTY BEHAVIORAL HEALTH SERVICES NPI is 1649209990. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Dickenson County Community Services Board.

The provider's business location address is:

440 FOX TOWN RD
CLINTWOOD, VA
ZIP 24228-077
Phone: (276) 926-1682
Fax: (276) 926-9179

The provider's authorized official is Kevin Mullins .
The authorized official title is Executive Director and has the following contact phone number (276) 926-1682.

The CLIA number assigned to this NPI record is 49D2198758 - other - community mental hlth ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 2/28/2022.

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	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		091-01-001	VIRGINIA	No
3	101YM0800X	Counselor	Mental Health	091-07-004	VIRGINIA	No
4	251B00000X	Case Management		091-16-001	VIRGINIA	No
5	251C00000X	Day Training, Developmentally Disabled Services				No
6	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	091-16-001	VIRGINIA	Yes

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	324879	OTHER	VIRGINIA	TRIGON
2	542631	OTHER	VIRGINIA	VALUE OPTIONS
3	542636	OTHER	VIRGINIA	VALUE OPTIONS
4	385241	OTHER	VIRGINIA	TRIGON
5	004945549	MEDICAID	VIRGINIA

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: 5/5/2024

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