| Blue Mountain Therapy, Llc | |
|
17507 Lee Hwy Abingdon VA 24210-7835 | |
| (276) 525-6043 | |
| (888) 233-7885 |
| Full Name | Blue Mountain Therapy, Llc |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 17507 Lee Hwy, Abingdon, Virginia |
| Authorized Official Name and Position | Joseph Clint Waddell (ADMINISTRATION) |
| Authorized Official Contact | 2765256043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Mountain Therapy, Llc 17507 Lee Hwy Abingdon VA 24210-7835 Ph: (276) 525-6043 | Blue Mountain Therapy, Llc 17507 Lee Hwy Abingdon VA 24210-7835 Ph: (276) 525-6043 |
| NPI Number | 1760818595 |
|---|---|
| Provider Enumeration Date | 09/25/2013 |
| Last Update Date | 06/16/2022 |
| Certification Date | 06/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760818595 | NPI | - | NPPES |
| 1760818595 | Medicaid | VA |
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