| Alleghany Highlands Community Services | |
|
311 S Monroe Ave Covington VA 24426-1635 | |
| (540) 965-2100 | |
| Not Available |
| Full Name | Alleghany Highlands Community Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 311 S Monroe Ave, Covington, Virginia |
| Authorized Official Name and Position | Patty Flanagan (FISCAL OFFICER) |
| Authorized Official Contact | 5409652135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alleghany Highlands Community Services 205 E Hawthorne St Covington VA 24426-1620 Ph: (540) 965-2135 | Alleghany Highlands Community Services 311 S Monroe Ave Covington VA 24426-1635 Ph: (540) 965-2100 |
| NPI Number | 1730136151 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 04/23/2008 |
| Medicare PECOS PAC ID | 0840392544 |
|---|---|
| Medicare Enrollment ID | O20080408000854 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730136151 | NPI | - | NPPES |
| 010199549 | Medicaid | VA | |
| 4945034 | Medicaid | VA | |
| 240326 | Other | VA | ANTHEM GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 12716001 (Virginia) | Primary |
| Provider Name | Jagadamba Pandit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154582369 PECOS PAC ID: 6800030222 Enrollment ID: I20140117001603 |
| Provider Name | Malak W Iskandar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841581295 PECOS PAC ID: 9436465473 Enrollment ID: I20150905000015 |
| Provider Name | Sarah Schmitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720579782 PECOS PAC ID: 3779833462 Enrollment ID: I20180829004039 |
| Provider Name | Delinda Kay Woody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780864025 PECOS PAC ID: 3577624683 Enrollment ID: I20181218002247 |
| Provider Name | Manjula Sathish |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942487525 PECOS PAC ID: 1456602614 Enrollment ID: I20220210002093 |
| Provider Name | Rachel Renae Biesemeyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679275689 PECOS PAC ID: 7911356845 Enrollment ID: I20231218000912 |
| Provider Name | Sarah Anne Deffinbaugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861004640 PECOS PAC ID: 3577914571 Enrollment ID: I20240103003818 |
| Provider Name | Mary Susan Chittum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902439672 PECOS PAC ID: 2860843745 Enrollment ID: I20240104001951 |
| Provider Name | Celeste L Bagley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235746777 PECOS PAC ID: 4284086935 Enrollment ID: I20240117004946 |
| Provider Name | Juliann Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811263312 PECOS PAC ID: 5395181283 Enrollment ID: I20240314000306 |
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