| Blue Ridge Behavioral Healthcare | |
|
611 Mcdowell Ave Nw Roanoke VA 24016-1225 | |
| (540) 343-2425 | |
| (540) 343-9543 |
| Full Name | Blue Ridge Behavioral Healthcare |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 611 Mcdowell Ave Nw, Roanoke, Virginia |
| Authorized Official Name and Position | Gay Carol Moffit (THERAPIST) |
| Authorized Official Contact | 5403432425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Behavioral Healthcare 301 Elm Ave Sw Roanoke VA 24016-4001 Ph: (540) 345-9841 | Blue Ridge Behavioral Healthcare 611 Mcdowell Ave Nw Roanoke VA 24016-1225 Ph: (540) 343-2425 |
| NPI Number | 1508833294 |
|---|---|
| Provider Enumeration Date | 03/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508833294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 0701002813 (Virginia) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0718000075 (Virginia) | Primary |
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