| Starke Behavioral Health Association Inc | |
|
120 W Broad St Blackstone VA 23824-1710 | |
| (434) 292-1104 | |
| (434) 292-1134 |
| Full Name | Starke Behavioral Health Association Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 120 W Broad St, Blackstone, Virginia |
| Authorized Official Name and Position | Lawrence C Starke (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4342921104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starke Behavioral Health Association Inc 120 W Broad St Blackstone VA 23824-1710 Ph: (434) 292-1104 | Starke Behavioral Health Association Inc 120 W Broad St Blackstone VA 23824-1710 Ph: (434) 292-1104 |
| NPI Number | 1427404433 |
|---|---|
| Provider Enumeration Date | 05/09/2016 |
| Last Update Date | 05/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427404433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701003843 (Virginia) | Primary |
Blackstone Counseling & Behavioral Health, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 116 W Broad St, Blackstone, VA 23824 Phone: 434-264-3209 Fax: 434-264-3224 | |
Starke Behavioral Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 W Broad St, Blackstone, VA 23824 Phone: 804-586-1587 | |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 615, Blackstone, VA 23824 Phone: 434-696-4633 Fax: 434-696-4634 |