THE MADELINE CENTER...AT HOME INC. NPI 1952315889

NPI Information

NPI: 1952315889
Provider Name: THE MADELINE CENTER...AT HOME, INC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 49D2170374

Address:
18697 FOREST RD
LYNCHBURG, VA
ZIP 24502
Phone: (434) 239-0003
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THE MADELINE CENTER...AT HOME, INC. is a mental health counselor in Lynchburg, VA. THE MADELINE CENTER...AT HOME, INC. NPI is 1952315889. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18697 FOREST RD
LYNCHBURG, VA
ZIP 24502-363
Phone: (434) 239-0003
Fax: (434) 239-0181

The provider's authorized official is Deborah Hall Berkley .
The authorized official title is Owner and has the following contact phone number (434) 239-0003.

The CLIA number assigned to this NPI record is 49D2170374 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2006 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
1	101YM0800X	Counselor	Mental Health	813	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: 4/28/2024

NPI Synchronization or Removal

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