| Premier Mental Health Support | |
|
490 Piney Forest Rd Danville VA 24540-4060 | |
| (434) 797-1094 | |
| (434) 797-1096 |
| Full Name | Premier Mental Health Support |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 490 Piney Forest Rd, Danville, Virginia |
| Authorized Official Name and Position | Kimberly Harper Gibson (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4347282641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Mental Health Support 490 Piney Forest Rd Danville VA 24540-4060 Ph: (434) 797-1094 | Premier Mental Health Support 490 Piney Forest Rd Danville VA 24540-4060 Ph: (434) 797-1094 |
| NPI Number | 1477150068 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 10/06/2020 |
| Certification Date | 10/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477150068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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