| Dickenson County Behavioral Health Services | |
|
440 Fox Town Rd Clintwood VA 24228-5077 | |
| (276) 926-1682 | |
| (276) 926-9179 |
| Full Name | Dickenson County Behavioral Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 440 Fox Town Rd, Clintwood, Virginia |
| Authorized Official Name and Position | Kevin Mullins (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2769261682 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dickenson County Behavioral Health Services Po Box 309 Clintwood VA 24228-0309 Ph: (276) 926-1682 | Dickenson County Behavioral Health Services 440 Fox Town Rd Clintwood VA 24228-5077 Ph: (276) 926-1682 |
| NPI Number | 1649209990 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 02/28/2022 |
| Certification Date | 02/28/2022 |
| Medicare PECOS PAC ID | 9436134475 |
|---|---|
| Medicare Enrollment ID | O20040623000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649209990 | NPI | - | NPPES |
| 542636 | Other | VA | VALUE OPTIONS |
| 004945549 | Medicaid | VA | |
| 542631 | Other | VA | VALUE OPTIONS |
| 324879 | Other | VA | TRIGON |
| 385241 | Other | VA | TRIGON |
| Provider Name | Lurton B Lyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912938192 PECOS PAC ID: 7618946203 Enrollment ID: I20040930000370 |
| Provider Name | Coetta Lynn Neece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578800967 PECOS PAC ID: 6305091760 Enrollment ID: I20130311000027 |
| Provider Name | Heather Dawn Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629318324 PECOS PAC ID: 5597900316 Enrollment ID: I20130327000593 |
| Provider Name | Frank E Shelp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912030883 PECOS PAC ID: 5890844625 Enrollment ID: I20140429000473 |
| Provider Name | Starla Jo Kiser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639462260 PECOS PAC ID: 0547529950 Enrollment ID: I20190531001700 |
| Provider Name | Sharon S Shaver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225309693 PECOS PAC ID: 7113378589 Enrollment ID: I20240110001549 |
| Provider Name | Colby Ball |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720551120 PECOS PAC ID: 4789035064 Enrollment ID: I20240111000937 |
| Provider Name | Brandon R Bise |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659735900 PECOS PAC ID: 9133571516 Enrollment ID: I20240122002319 |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Elementary Circle, Clintwood, VA 24228 Phone: 276-963-3606 Fax: 276-963-3747 | |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1280 Browning Holw, Clintwood, VA 24228 Phone: 276-963-3606 Fax: 276-963-3747 | |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5123 Dickenson Highway, Clintwood, VA 24228 Phone: 276-963-3606 Fax: 276-963-3747 | |
Family Preservation Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Technology Park Drive, Clintwood, VA 24228 Phone: 276-963-3606 Fax: 276-963-3747 | |
Dickenson Community Hospital Psychiatric Unit Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 312 Hospital Dr, Clintwood, VA 24228 Phone: 276-926-0251 Fax: 276-926-0329 | |
Propel Counseling Group, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 160 Courthouse Ln, Clintwood, VA 24228 Phone: 276-393-2367 |