| Cumberland Mountain Community Services | |
|
113 Cumberland Rd Cedar Bluff VA 24609-1137 | |
| (276) 964-6702 | |
| (276) 964-5669 |
| Full Name | Cumberland Mountain Community Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 113 Cumberland Rd, Cedar Bluff, Virginia |
| Authorized Official Name and Position | Mary F. Cole (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2769646702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cumberland Mountain Community Services Po Box 810 Cedar Bluff VA 24609-0810 Ph: (276) 964-6702 | Cumberland Mountain Community Services 113 Cumberland Rd Cedar Bluff VA 24609-1137 Ph: (276) 964-6702 |
| NPI Number | 1235125055 |
|---|---|
| Provider Enumeration Date | 09/27/2005 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Medicare PECOS PAC ID | 2466355300 |
|---|---|
| Medicare Enrollment ID | O20040129000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235125055 | NPI | - | NPPES |
| 004945522 | Medicaid | VA |
| Provider Name | Susan L Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497742332 PECOS PAC ID: 4688659030 Enrollment ID: I20040621001343 |
| Provider Name | Barbara K Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972501062 PECOS PAC ID: 5395704233 Enrollment ID: I20041006001427 |
| Provider Name | Karl C Lewis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588762611 PECOS PAC ID: 2365496759 Enrollment ID: I20050309000179 |
| Provider Name | Shelley Renea Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790793594 PECOS PAC ID: 9234155938 Enrollment ID: I20051021000477 |
| Provider Name | Debra S Magee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396886149 PECOS PAC ID: 2668572553 Enrollment ID: I20070706000247 |
| Provider Name | James Stewart Reinhard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558689927 PECOS PAC ID: 0941332365 Enrollment ID: I20100721000471 |
| Provider Name | Sharon M Hall-alderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184612848 PECOS PAC ID: 6800085572 Enrollment ID: I20110111000672 |
| Provider Name | Christopher Robert Buchanan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851669477 PECOS PAC ID: 0941463681 Enrollment ID: I20120516000732 |
| Provider Name | Monique S Rash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689927691 PECOS PAC ID: 9032362827 Enrollment ID: I20130103000048 |
| Provider Name | Beverly Faye Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639165137 PECOS PAC ID: 9830342625 Enrollment ID: I20130103000069 |
| Provider Name | Sherry P Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033299011 PECOS PAC ID: 8527351535 Enrollment ID: I20160728001869 |
| Provider Name | Sidney L Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437698321 PECOS PAC ID: 7416233523 Enrollment ID: I20170404000252 |
| Provider Name | Misty D Vance |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265075493 PECOS PAC ID: 6103252101 Enrollment ID: I20200211002706 |
| Provider Name | Kelly Leigh Gilliam Hackney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699306563 PECOS PAC ID: 6103265186 Enrollment ID: I20240424000575 |
| Provider Name | Veronica Gillespie Bales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801441019 PECOS PAC ID: 0042650038 Enrollment ID: I20240424001187 |
| Provider Name | David R Dingus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730658758 PECOS PAC ID: 3577005818 Enrollment ID: I20240603000852 |
Healing Waters Counseling Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1113 Cedar Valley Dr., Cedar Bluff, VA 24609 Phone: 276-963-0111 Fax: 276-963-0005 | |
Sound Mind Counseling Ministry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Cedar Valley Drive, Suite 4, Cedar Bluff, VA 24609 Phone: 276-698-0073 Fax: 276-964-0052 | |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2293 Cedar Valley Drive #104, Cedar Bluff, VA 24609 Phone: 276-963-3606 Fax: 276-963-3747 | |
Embrace, Behavioral Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2006 Steelsburg Hwy, Cedar Bluff, VA 24609 Phone: 276-254-1932 | |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1089, Cedar Bluff, VA 24609 Phone: 276-963-3606 Fax: 276-963-3747 |