| The Village @ Midtown | |
|
1415 Kemper St Apt 22 Lynchburg VA 24501-1978 | |
| (434) 851-9980 | |
| Not Available |
| Full Name | The Village @ Midtown |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1415 Kemper St Apt 22, Lynchburg, Virginia |
| Authorized Official Name and Position | Alesia Waller (DIRECTOR) |
| Authorized Official Contact | 4348519980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Village @ Midtown Po Box 24 Lynchburg VA 24505-0024 Ph: (434) 851-9980 | The Village @ Midtown 1415 Kemper St Apt 22 Lynchburg VA 24501-1978 Ph: (434) 851-9980 |
| NPI Number | 1760291058 |
|---|---|
| Provider Enumeration Date | 01/02/2025 |
| Last Update Date | 01/02/2025 |
| Certification Date | 01/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760291058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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