| Behavioral Health Associates, Inc. | |
|
515 Yancey Ave South Boston VA 24592 | |
| (434) 575-8255 | |
| (434) 572-1616 |
| Full Name | Behavioral Health Associates, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 515 Yancey Ave, South Boston, Virginia |
| Authorized Official Name and Position | Jane C Rose (OWNER/PROVIDER) |
| Authorized Official Contact | 4345758255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Associates, Inc. 2082 Old Grubby Rd South Boston VA 24592-6136 Ph: (434) 575-8255 | Behavioral Health Associates, Inc. 515 Yancey Ave South Boston VA 24592 Ph: (434) 575-8255 |
| NPI Number | 1437352945 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 09/18/2023 |
| Certification Date | 09/18/2023 |
| Medicare PECOS PAC ID | 2062590938 |
|---|---|
| Medicare Enrollment ID | O20080417000039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437352945 | NPI | - | NPPES |
| 260642000 | Other | VA | MAGELLAN |
| 237752 | Other | VA | VALUE OPTIONS |
| 087374 | Other | VA | OPTIMA SENTARA |
| 326561 | Other | VA | ANTHEM |
| 98581393 | Other | VA | UNITED BEHAVIORAL HEALTH |
| 008917531 | Medicaid | VA | |
| 326561 | Other | VA | ANTHEM HEALTHKEEPERS PLUE |
| 165713000 | Other | VA | MAGELLAN |
| 98581393 | Other | VA | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 343900000X | Non-emergency Medical Transport (van) | (* (Not Available)) | Secondary |
| Provider Name | Jane C Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053379602 PECOS PAC ID: 8527146497 Enrollment ID: I20080417000025 |
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