SHENANDOAH CREATIVE COUNSELING FOR CHILDREN AND ADOLESCENTS


Address: 510 W Broad St Ste H, Waynesboro, VA 22980-4548
Phone: 5404719022

SHENANDOAH CREATIVE COUNSELING FOR CHILDREN AND ADOLESCENTS (NPI# 1306467147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306467147
Entity Type Organization
Organization Name SHENANDOAH CREATIVE COUNSELING FOR CHILDREN AND ADOLESCENTS
Practice Address 510 W Broad St Ste H
Waynesboro
VA 22980-4548
Practice Telephone 5404719022
Practice Fax Number 5409418807
Mailing Telephone 5404719022
Mailing Fax Number 5409418807
Enumeration Date 2020-05-04
Last Update Date 2020-05-04
Authorized Official Name MRS. LAURIE STONE THOMAS (MANAGER/OWNER)
Authorized Official Telephone 5404719022
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 510 W BROAD ST STE H
City WAYNESBORO
State VA
Zip Code 22980-4548

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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

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Competitor

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City WAYNESBORO
Zip Code 22980

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Dataset Information

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.

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