| Botetourt Counseling Center Inc | |
|
3522 Webster Road Blue Ridge VA 24064 | |
| (540) 977-6300 | |
| (540) 977-9523 |
| Full Name | Botetourt Counseling Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3522 Webster Road, Blue Ridge, Virginia |
| Authorized Official Name and Position | Kim Montgomery (BUSINESS OWNER/MANAGER) |
| Authorized Official Contact | 5409776300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Botetourt Counseling Center Inc 3522 Webster Road Blue Ridge VA 24064 Ph: (540) 977-6300 | Botetourt Counseling Center Inc 3522 Webster Road Blue Ridge VA 24064 Ph: (540) 977-6300 |
| NPI Number | 1265535611 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 05/03/2024 |
| Certification Date | 05/03/2024 |
| Medicare PECOS PAC ID | 5799887642 |
|---|---|
| Medicare Enrollment ID | O20070222000620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265535611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Sarah Blair Bishop |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184959421 PECOS PAC ID: 0345693768 Enrollment ID: I20240201000366 |
| Provider Name | Carrie Leigh Lanning |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174060057 PECOS PAC ID: 6800239278 Enrollment ID: I20240213002734 |
| Provider Name | Jason D O Brien |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851379432 PECOS PAC ID: 4385186782 Enrollment ID: I20240612002682 |
Serenity Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4542 Blue Ridge Blvd, Blue Ridge, VA 24064 Phone: 540-977-2181 Fax: 540-977-2183 | |
Gunter Psychological Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Pin Oak Dr, Blue Ridge, VA 24064 Phone: 540-293-8006 |