SOUTHWEST REGIONAL COUNSELING SERVICE INC (NPI# 1063078855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063078855 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST REGIONAL COUNSELING SERVICE INC |
| Practice Address |
1114 E Main St Ste 4 Lebanon VA 24266-5014 |
| Mailing Address |
Po Box 306 Lebanon VA 24266-0306 |
| Practice Telephone | 2768835050 |
| Practice Fax Number | 2768835998 |
| Mailing Telephone | 2738835050 |
| Mailing Fax Number | 2768835998 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |
| Authorized Official Name | MR. JOSHUA LIPFORD (MANAGER) |
| Authorized Official Telephone | 4238958266 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1528039054 | 05 | |
| VA | 1720016389 | 05 |
| Street Address |
1114 E MAIN ST STE 4 |
| City | LEBANON |
| State | VA |
| Zip Code | 24266-5014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541174 | Nextdoor Drug | Pharmacist | 932 W Main St, Lebanon, VA 24266 | 2020-06-04 |
| 1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
| 1962051763 | Best Life Physical Therapy Inc. | Physical Therapist | 383 Technology Park Drive, Lebanon, VA 24266 | 2019-09-05 |
| 1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
| 1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
| 1457867202 | Elizabeth Altizer Baker | Speech-Language Pathologist | 84 Lorraine C. Turner Dr., Russell County Public Schools, Lebanon, VA 24266 | 2017-12-15 |
| 1851805683 | Laura Hankins Vencill | Speech-Language Pathologist | Russell County Public Schools, 84 Lorraine C. Turner Dr., Lebanon, VA 24266 | 2017-12-01 |
| 1487168670 | Stacy Nichole Davis | Counselor | 78 Rogers St, Lebanon, VA 24266 | 2017-11-27 |
| 1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
| 1659883312 | Sara K Poole | Occupational Therapist | 408 Fields Ave., Lebanon, VA 24266 | 2017-11-02 |
| Find all providers in zip 24266 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523059 | Sommer Mae Green | Counselor | 4216 Hunting Hawk Dr, Lebanon, OH 45036-7040 | 2020-09-16 |
| 1174169817 | Kacie Elizabeth Giffin | Counselor | 3883 Keever Pass, Lebanon, OH 45036-8837 | 2019-11-18 |
| 1184271264 | Jessica Stacy | Counselor | 15 N Corwin St, Lebanon, OH 45036-2001 | 2019-08-22 |
| 1508420357 | Ascension Therapy Services, LLC | Counselor | 1545 Shaker Run Blvd, Lebanon, OH 45036-4004 | 2019-04-26 |
| 1548730401 | Crystal Prater | Counselor | 5234 W Sr 63, Lebanon, OH 45036 | 2018-12-04 |
| 1063980779 | William Neil Caldwell | Counselor | 241 N Depot St, Lebanon, KY 40033-1419 | 2018-11-12 |
| 1922574284 | Ellen L Fink | Counselor | 5234 Sr 63, Lebanon, OH 45036 | 2018-10-15 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1720575616 | Nadine Alicia Cambridge | Counselor | 777 Columbus Ave Ste 7-d, Lebanon, OH 45036-1684 | 2018-04-17 |
| 1841704640 | Rachel Wallace | Counselor | 5234 W St Rt 63, Lebanon, OH 45036-8202 | 2017-12-01 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.