VIRGINIA ADDICTION MANAGEMENT LLC NPI 1780166777

NPI Information

NPI: 1780166777
Provider Name: VIRGINIA ADDICTION MANAGEMENT LLC

Doing Business As: VIRGINIA RECOVERY

Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
2281 VALLEY AVE
WINCHESTER, VA
ZIP 22601
Phone: (540) 278-2228
Get Directions

VIRGINIA ADDICTION MANAGEMENT LLC is an addiction medicine family medicine in Winchester, VA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. VIRGINIA ADDICTION MANAGEMENT LLC NPI is 1780166777. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Virginia Recovery.

The provider's business location address is:

2281 VALLEY AVE
WINCHESTER, VA
ZIP 22601-755
Phone: (540) 278-2228
Fax: (866) 279-1155

The provider's authorized official is Gabriele Whyard .
The authorized official title is Chief Operations Officer and has the following contact phone number (540) 278-2228.

The CLIA number assigned to this NPI record is 49D2262542 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/5/2018 and was last updated on 8/17/2021.

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	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
3	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	No
4	171M00000X	Case Manager/Care Coordinator		No
5	207RA0401X	Internal Medicine	Addiction Medicine	No
6	207ZP0105X	Pathology	Clinical Pathology/Laboratory Medicine	No
7	2084A0401X	Psychiatry & Neurology	Addiction Medicine	No
8	208D00000X	General Practice		No
9	207QA0401X	Family Medicine	Addiction Medicine	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: 4/28/2024

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