| Mountain Waves Aba, Llc | |
|
6746 Thirlane Rd Roanoke VA 24019-2908 | |
| (540) 915-4767 | |
| (540) 202-9002 |
| Full Name | Mountain Waves Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 6746 Thirlane Rd, Roanoke, Virginia |
| Authorized Official Name and Position | Abigail Erin Hard (OWNER) |
| Authorized Official Contact | 5409154767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Waves Aba, Llc 730 Camp North Rd Salem VA 24153-3046 Ph: (540) 915-4767 | Mountain Waves Aba, Llc 6746 Thirlane Rd Roanoke VA 24019-2908 Ph: (540) 915-4767 |
| NPI Number | 1326883521 |
|---|---|
| Provider Enumeration Date | 06/28/2024 |
| Last Update Date | 08/20/2024 |
| Certification Date | 08/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326883521 | NPI | - | NPPES |
| 1609355809 | Medicaid | VA | |
| 30016163330003 | Medicaid | VA | |
| 30017464310001 | Medicaid | VA | |
| 1134854946 | Medicaid | VA | |
| 1811418668 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Clarvida Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5369 Peters Creek Rd Nw, Roanoke, VA 24019 Phone: 540-344-9501 Fax: 540-344-7162 | |
Advanced Telepsychiatry, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5372 Fallowater Lane, Suite C, Roanoke, VA 24018 Phone: 540-772-1974 Fax: 540-283-0032 | |
Anthony O. Wells, Ph.d. Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Albemarle Ave Sw, Roanoke, VA 24016 Phone: 540-818-3379 Fax: 877-285-0379 | |
Cedric Wilson, Lpc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3048 Brambleton Ave Sw, Roanoke, VA 24015 Phone: 540-339-7674 Fax: 540-685-0994 | |
Alchemy Counseling And Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1402 Grandin Rd Sw Ste 205, Roanoke, VA 24015 Phone: 757-646-7831 | |
Steel River Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1409 Grandin Rd Sw, Roanoke, VA 24015 Phone: 504-421-5406 | |
Your Life Aba Va, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1314 Riverland Rd Se, Roanoke, VA 24014 Phone: 866-565-7222 Fax: 877-734-1914 |