MOUNTAIN LAUREL GROUP, LLC (NPI# 1124343801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124343801 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN LAUREL GROUP, LLC |
| Practice Address |
14274 Eggbornsville Rd Culpeper VA 22701-4844 |
| Mailing Address |
10391 Greyson Ln Rixeyville VA 22737-1730 |
| Practice Telephone | 5408291789 |
| Practice Fax Number | 5408290117 |
| Mailing Telephone | 5409372334 |
| Mailing Fax Number | 5409377680 |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2010-04-06 |
| Authorized Official Name | BRUCE WYMAN (CEO-DIRECTOR OF PROGRAMS- OWNER) |
| Authorized Official Telephone | 5409372334 |
| Authorized Official Credential | LPC, EDM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 993-01019 | VA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750596441 | Mountain Laurel Group, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 16126 Brandy Rd, Culpeper, VA 22701-4622 | 2007-05-14 |
| 1346510609 | Mountain Laurel Group, LLC | Community/Behavioral Health | 102 N Main St, Suite 301, Culpeper, VA 22701-3064 | 2012-01-04 |
| 1548587405 | Mountain Laurel Group, LLC | Counselor | 102 N Main St Ste 300, Culpeper, VA 22701-3053 | 2010-04-30 |
| 1851538680 | Mountain Laurel Group, LLC | Community/Behavioral Health | 102 N Main St Ste 300, Culpeper, VA 22701-3053 | 2009-01-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MOUNTAIN LAUREL GROUP, LLC | 95 Wood Duck Road, Brewster, MA 02631 |
| Street Address |
14274 EGGBORNSVILLE RD |
| City | CULPEPER |
| State | VA |
| Zip Code | 22701-4844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720621907 | Warzetta Delphina Carter | Technician | 1415 Orange Rd., Culpeper, VA 22701 | 2019-10-21 |
| 1043747983 | Jeremy L. Mccullough | Physical Therapist | 15331 Creativity Dr # 960, Culpeper, VA 22701 | 2017-05-22 |
| 1013366921 | Angel Wings Family Services LLC. | Home Health | 133 East Davis Street Suite 330, Culpeper, VA 22701 | 2016-06-10 |
| 1598114654 | Aa Lightfoot Transportation | Non-emergency Medical Transport (VAN) | 13908 Eggbornsville Rd, Culpeper, VA 22701 | 2016-06-09 |
| 1780087437 | Healing Hands Therapeutic Massage, LLC. | Massage Therapist | 530 Sunset Lane, Culpeper, VA 22701 | 2014-10-08 |
| 1053694893 | Sharon Darling | Pharmacist | 309 Southgate Sc, Culpeper, VA 22701 | 2011-09-27 |
| 1821371196 | Cathy Annette Crain | Pharmacist | 309 Southgate, Safeway Pharmacy, Culpeper, VA 22701 | 2011-09-23 |
| 1447572698 | Jordan Lee Nougaret | Specialist/Technologist | 132 Standpipe Road, Culpeper, VA 22701 | 2010-02-15 |
| 1194957324 | Giant Food Stores, LLC | Pharmacy | 15371 Montanus Drive, Culpeper, VA 22701 | 2009-08-21 |
| 1093959611 | Samantha Jane Reynolds | Physician Assistant | 1100 Sunset Lane 1211-a, Culpeper, VA 22701 | 2009-04-27 |
| Find all providers in zip 22701 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851771679 | Hope Water Wellness, LLC | Community/Behavioral Health | 1200 Sunset Ln Ste 2122, Culpeper, VA 22701-3376 | 2015-06-06 |
| 1588897151 | Destiny Center for Children | Community/Behavioral Health | 1939 Martina Way, Culpeper, VA 22701-1631 | 2009-08-31 |
| 1932575297 | Family Preservation Services, Inc | Community/Behavioral Health | 1200 Sunset Ln, Suite 2131-2132, Culpeper, VA 22701-3376 | 2015-08-20 |
| 1700139326 | Daniel L Price Psydpc | Community/Behavioral Health | 206 S East St, Culpeper, VA 22701-3104 | 2012-10-19 |
| 1346510609 | Mountain Laurel Group, LLC | Community/Behavioral Health | 102 N Main St, Suite 301, Culpeper, VA 22701-3064 | 2012-01-04 |
| 1851538680 | Mountain Laurel Group, LLC | Community/Behavioral Health | 102 N Main St Ste 300, Culpeper, VA 22701-3053 | 2009-01-15 |
| 1467538702 | Family Preservation Services, Inc | Community/Behavioral Health | 415 S Main St, Suite 201, Culpeper, VA 22701-3151 | 2006-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637218 | Endurance Cousneling and Supervision Services,llc | Community/Behavioral Health | 324 Lynnhaven Dr, Hampton, VA 23666-2300 | 2020-10-20 |
| 1861090615 | Energy for Life, LLC | Community/Behavioral Health | 2600 Brownstone Cir, Williamsburg, VA 23185-8321 | 2020-10-14 |
| 1093313868 | Tri Counties Behavioral Health Services, LLC | Community/Behavioral Health | 1807 Piney Woods Road, Lawrenceville, VA 23868 | 2020-10-14 |
| 1275140626 | Savoy Wellness Center LLC | Community/Behavioral Health | 1209 N 32nd St, Richmond, VA 23223-6711 | 2020-09-29 |
| 1700493582 | Therapeutic Services of Virginia | Community/Behavioral Health | 101 Deep Creek Rd, Newport News, VA 23606-2219 | 2020-09-25 |
| 1801402995 | Strategic Therapy Associates, Inc. | Community/Behavioral Health | 150 W Main St Ste E, Wytheville, VA 24382-2376 | 2020-09-23 |
| 1396351193 | Maxim Healthcare Services Inc. | Community/Behavioral Health | 293 Independence Blvd Ste 400, Virginia Beach, VA 23462-5461 | 2020-09-17 |
| 1083228902 | Lr Counseling Services, LLC | Community/Behavioral Health | 5000 Owens Way, Apt. 622, Prince George, VA 23875 | 2020-09-08 |
| 1073127411 | Youth Outreach Services | Community/Behavioral Health | 7050 Lakota Dr Apt 301, Woodbridge, VA 22192-5392 | 2020-09-02 |
| 1053924803 | Foundation of Hope Mental Health Services LLC | Community/Behavioral Health | 857 Hardwood Dr, Chesapeake, VA 23320-9215 | 2020-08-30 |
| Find all providers with the same taxonomy | ||||
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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.