| Family Preservation Services, Inc | |
|
212 Monta Vista Lane Big Stone Gap VA 24219 | |
| (276) 679-1045 | |
| (276) 679-1047 |
| Full Name | Family Preservation Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 212 Monta Vista Lane, Big Stone Gap, Virginia |
| Authorized Official Name and Position | Michael C Fidgeon (PRESIDENT) |
| Authorized Official Contact | 5407106085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Preservation Services, Inc 10304 Spotsylvania Ave 3rd Floor Fredericksburg VA 22408-8602 Ph: (540) 710-6085 | Family Preservation Services, Inc 212 Monta Vista Lane Big Stone Gap VA 24219 Ph: (276) 679-1045 |
| NPI Number | 1134464456 |
|---|---|
| Provider Enumeration Date | 11/28/2012 |
| Last Update Date | 11/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134464456 | NPI | - | NPPES |
| 158 02 029 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 158 02 029 (Virginia) | Primary |
Independence House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2532 4th Ave E, Big Stone Gap, VA 24219 Phone: 276-523-4357 Fax: 276-523-2527 | |
Premier 1 Healthcare Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 928 E 5th St N, Big Stone Gap, VA 24219 Phone: 276-524-1906 Fax: 276-524-1908 | |
Community Connections Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 43 Champions Ave, Big Stone Gap, VA 24219 Phone: 276-523-8300 Fax: 276-523-6964 | |
Blue Ridge Medical Management Corpoartion Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1980 Holton Ave E Ste 103, Big Stone Gap, VA 24219 Phone: 423-302-3480 Fax: 423-722-3009 | |
Family Preservation Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Two Champions Avenue, Big Stone Gap, VA 24219 Phone: 276-679-1045 Fax: 276-679-1047 | |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3137 2nd Ave E, Big Stone Gap, VA 24219 Phone: 276-679-1045 Fax: 276-679-1047 |