GALAX TREATMENT CENTER, LLC (NPI# 1386783314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386783314 |
| Entity Type | Organization |
| Organization Name | GALAX TREATMENT CENTER, LLC |
| Other Organization Name | CLINCH VALLEY TREATMENT CENTER |
| Practice Address |
111 Town Hollow Rd Cedar Bluff VA 24609-9622 |
| Mailing Address |
6185 Paseo Del Norte Ste 150 Carlsbad CA 92011-1155 |
| Practice Telephone | 2769633554 |
| Practice Fax Number | 2769634653 |
| Mailing Telephone | 8552592288 |
| Mailing Fax Number | 2762364802 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | KIM SANDERSON (INTERIM PRESIDENT, CTC DIVISION) |
| Authorized Official Telephone | 8552592288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
617-06-001 | VA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Clinch Valley Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172407 | Galax Treatment Center, LLC | Clinic/Center | 2100 Roanoke St, Suite 1, Christiansburg, VA 24073 | 2020-10-22 |
| 1023617859 | Galax Treatment Center, LLC | Clinic/Center | 290 Front Royal Pike, Winchester, VA 22602 | 2020-10-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Galax Treatment Center, LLC | 6100 Tower Circle Suite 1000, Franklin, TN 37067 |
| Virginia Business Entity | Galax Treatment Center, LLC | 6100 TOWER CIRCLE STE 1000 , FRANKLIN, TN 37067 |
| Street Address |
111 TOWN HOLLOW RD |
| City | CEDAR BLUFF |
| State | VA |
| Zip Code | 24609-9622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457837346 | Jordan Dean Griffith | Counselor | 111 Town Hollow Rd, Cedar Bluff, VA 24609-9622 | 2018-07-14 |
| 1477046324 | Tonia Jeanne Johnson | Counselor | 111 Town Hollow Rd, Cedar Bluff, VA 24609-9622 | 2018-06-14 |
| 1366935322 | Brittany Nicole Fuller | Counselor | 111 Town Hollow Rd, Cedar Bluff, VA 24609-9622 | 2018-06-13 |
| 1407008675 | Jeani Renee Hodges | Counselor | 111 Town Hollow Rd, Cedar Bluff, VA 24609-9622 | 2008-10-19 |
| 1588816094 | Lena Levae Richardson | Counselor | 111 Town Hollow Rd, Cedar Bluff, VA 24609-9622 | 2008-10-15 |
| 1295987071 | Shelia Lovejoy Smith | Counselor | 111 Town Hollow Rd, Cedar Bluff, VA 24609-9622 | 2008-10-13 |
| 1407008238 | Kelley Lambert | Counselor | 111 Town Hollow Rd, Cedar Bluff, VA 24609-9622 | 2008-10-10 |
| 1043462872 | Teresa Arveline Fields | Counselor | 111 Town Hollow Rd, Cedar Bluff, VA 24609-9622 | 2008-10-10 |
| 1649421728 | Amber Leigh Stevenson | Counselor | 111 Town Hollow Rd, Cedar Bluff, VA 24609 | 2008-10-07 |
| 1073764361 | Matt Smith | Counselor | 111 Town Hollow Rd, Cedar Bluff, VA 24609-9622 | 2008-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831669498 | Appalachian Agency for Senior Citizens, Inc | Non-emergency Medical Transport (VAN) | 164 College Ridge Road, Cedar Bluff, VA 24609 | 2018-11-27 |
| 1568930568 | Jerry Gray Gilchrist IIi | Private Vehicle | 308 College Estates Rd, Cedar Bluff, VA 24609 | 2018-11-07 |
| 1538575949 | At Home Personal Care | In Home Supportive Care | 2032 Cedar Valley Dr, Suite1, Cedar Bluff, VA 24609 | 2014-07-07 |
| 1124375217 | Billy Chad Mullins | Counselor | 216 College Ridge Rd., Cedar Bluff, VA 24609 | 2012-08-08 |
| 1124329388 | Healing Waters Counseling Center | Social Worker | 1113 Cedar Valley Dr., Cedar Bluff, VA 24609 | 2010-11-04 |
| 1154658854 | Bradley Todd Kinder | Counselor | 1100 Cedar Valley Drive, Suite 3, Cedar Bluff, VA 24609 | 2009-11-17 |
| 1447488796 | Thomas Luke Stillwell | Optometrist | 7831 Mountain Rd, Cedar Bluff, VA 24609 | 2009-06-25 |
| 1467698639 | Family Preservation Services, Inc | Community/Behavioral Health | 1089, Cedar Bluff, VA 24609 | 2008-12-18 |
| 1366614869 | Susan Renee Harris | Nurse Practitioner | 541 Community College Rd, Dickenson Hall, Cedar Bluff, VA 24609 | 2008-03-25 |
| 1841472040 | Roy C Gomez, Md, PC | Clinic/Center | 2308 Cedar Valley Drive, Cedar Bluff, VA 24609 | 2007-11-29 |
| Find all providers in zip 24609 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172407 | Galax Treatment Center, LLC | Clinic/Center | 2100 Roanoke St, Suite 1, Christiansburg, VA 24073 | 2020-10-22 |
| 1710540919 | American Addiction Treatment Center, Inc | Clinic/Center | 6983c Mid County Ln, Hayes, VA 23072-2833 | 2019-04-15 |
| 1932762127 | American Addiction Treatment Center, Inc | Clinic/Center | 5583 Mooretown Rd Ste B, Williamsburg, VA 23188-2111 | 2019-04-15 |
| 1447813639 | American Addiction Treatment Center, Inc | Clinic/Center | 12695 Mcmanus Blvd Bldg 2, Newport News, VA 23602-4458 | 2019-04-15 |
| 1528565801 | Crossroads Treatment Center of Petersburg, PC | Clinic/Center | 301 Falls Dr Nw Ste 353, Abingdon, VA 24210 | 2018-04-12 |
| 1649786260 | Aspire Treatment & Recovery Center of Virginia | Clinic/Center | 4445 Corporation Ln Ste 144, Virginia Beach, VA 23462-3262 | 2017-12-19 |
| 1437608437 | Leesburg Treatment Services, LLC | Clinic/Center | 681 Hioaks Rd Ste J, Richmond, VA 23225-4043 | 2016-10-02 |
| 1023499837 | Metro Treatment of Virginia Lp | Clinic/Center | 30 Baxter Dr, Suite 170 and 180, Harrisonburg, VA 22801-4621 | 2015-06-17 |
| 1093108755 | Virginia Treatment Center, LLC | Clinic/Center | 4000 Murray Pl, Lynchburg, VA 24501-5004 | 2015-03-05 |
| 1396140240 | Affinity Healthcare | Clinic/Center | 5715 Princess Anne Rd, Suite 107, Virginia Bch, VA 23462-3222 | 2014-11-04 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR BLUFF |
| Zip Code | 24609 |
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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.