| Southern Support Behavioral Health Care Llc | |
|
300 N Main St Ste 205 Franklin VA 23851-1756 | |
| (252) 642-5345 | |
| Not Available |
| Full Name | Southern Support Behavioral Health Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 300 N Main St Ste 205, Franklin, Virginia |
| Authorized Official Name and Position | Vickie M Persaud (OWNER) |
| Authorized Official Contact | 2526425345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Support Behavioral Health Care Llc Po Box 134 Colerain NC 27924-0134 Ph: (252) 642-5345 | Southern Support Behavioral Health Care Llc 300 N Main St Ste 205 Franklin VA 23851-1756 Ph: (252) 642-5345 |
| NPI Number | 1851810659 |
|---|---|
| Provider Enumeration Date | 09/12/2017 |
| Last Update Date | 01/14/2022 |
| Certification Date | 01/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851810659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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