| Danville Pittsylvania Community Services | |
|
425 Hairston St Danville VA 24540-4133 | |
| (434) 793-4931 | |
| (434) 799-3100 |
| Full Name | Danville Pittsylvania Community Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 425 Hairston St, Danville, Virginia |
| Authorized Official Name and Position | James F Bebeau (DIRECTOR OF MENTAL HEALTH) |
| Authorized Official Contact | 4347934931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Danville Pittsylvania Community Services 425 Hairston St Danville VA 24540-4133 Ph: (434) 793-4931 | Danville Pittsylvania Community Services 425 Hairston St Danville VA 24540-4133 Ph: (434) 793-4931 |
| NPI Number | 1669410064 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669410064 | NPI | - | NPPES |
| P00195293 | Other | VA | RAILROAD MEDICARE |
| 010135419 | Medicaid | VA | |
| 175108 | Other | VA | BLUE CROSS BLUE SHIELD VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904005264 (Virginia) | Primary |
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