| Blacksburg Behavioral Health, Llc | |
|
2001 S Main St Suite 108 Blacksburg VA 24060-6678 | |
| (540) 443-8949 | |
| (540) 739-2111 |
| Full Name | Blacksburg Behavioral Health, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2001 S Main St, Blacksburg, Virginia |
| Authorized Official Name and Position | Adrienne Jill Means-christensen (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5404438949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blacksburg Behavioral Health, Llc 2001 S Main St Suite 108 Blacksburg VA 24060-6678 Ph: (540) 443-8949 | Blacksburg Behavioral Health, Llc 2001 S Main St Suite 108 Blacksburg VA 24060-6678 Ph: (540) 443-8949 |
| NPI Number | 1770034902 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 10/24/2016 |
| Medicare PECOS PAC ID | 4981983665 |
|---|---|
| Medicare Enrollment ID | O20161121001797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770034902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810004182 (Virginia) | Primary |
| Provider Name | Adrienne J Means-christensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477881423 PECOS PAC ID: 8729209796 Enrollment ID: I20141016002624 |
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