Blue Ridge Mental Health | |
722 E Market St # V79 Leesburg VA 20176-3255 | |
(571) 569-0560 | |
Not Available |
Full Name | Blue Ridge Mental Health |
---|---|
Speciality | Clinic/Center |
Location | 722 E Market St # V79, Leesburg, Virginia |
Authorized Official Name and Position | Katherine Bixby Hughes (OWNER) |
Authorized Official Contact | 5713349759 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Blue Ridge Mental Health 1198 Hawling Pl Sw Leesburg VA 20175-5084 Ph: (571) 334-9759 | Blue Ridge Mental Health 722 E Market St # V79 Leesburg VA 20176-3255 Ph: (571) 569-0560 |
NPI Number | 1851162010 |
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Provider Enumeration Date | 01/15/2024 |
Last Update Date | 01/15/2024 |
Certification Date | 01/15/2024 |
Medicare PECOS PAC ID | 5395184287 |
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Medicare Enrollment ID | O20240411001502 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851162010 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Katherine B Hughes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083960272 PECOS PAC ID: 9234382946 Enrollment ID: I20130109000105 |
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