A PATH FORWARD BEHAVIORAL HEALTH, LLC.


Address: 101 Church Ave Sw, Roanoke, VA 24011-1922
Phone: 3369864276

A PATH FORWARD BEHAVIORAL HEALTH, LLC. (NPI# 1851910046) 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) 1851910046
Entity Type Organization
Organization Name A PATH FORWARD BEHAVIORAL HEALTH, LLC.
Practice Address 101 Church Ave Sw
Roanoke
VA 24011-1922
Mailing Address 101 Church Ave Sw # 2586
Roanoke
VA 24011-1922
Practice Telephone 3369864276
Mailing Telephone 3369864276
Enumeration Date 2020-04-09
Last Update Date 2020-04-09
Authorized Official Name DAVID WATKINS (CEO)
Authorized Official Telephone 3369864276
Authorized Official Credential MBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 101 CHURCH AVE SW
City ROANOKE
State VA
Zip Code 24011-1922

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NPI Name Taxonomy Address Enumeration
1578009346 Debra Jean Massaro Nurse Practitioner 123 Sesame St., Roanoke, VA 24011 2017-01-17
1568405884 Jilda Edean Long Optometrist 22 Campbell Ave Se, Roanoke, VA 24011 2006-06-14
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1164040960 Daniel Scott Feivor Physician Assistant 131 Campbell Ave Sw Ste 215, Roanoke, VA 24011-1241 2020-07-08
1467019398 Michael Gumpert Military Health Care Provider 35 Campbell Ave Sw Apt 215, Roanoke, VA 24011-1335 2019-05-27
1700070083 Long Sight, PC Clinic/Center 22 Campbell Ave Se, Roanoke, VA 24011-1404 2007-08-30
1679717151 Blue Ridge Behavioral Healthcare Community/Behavioral Health 302 2nd St Sw Fl 2, Roanoke, VA 24011-1514 2009-04-28
1679717854 Monique Deberry Worrell Social Worker 302 2nd St Sw Fl 2, Roanoke, VA 24011-1514 2009-05-01
1265523211 City of Roanoke Clinic/Center 120 Kirk Ave Sw, Roanoke, VA 24011-1602 2006-09-27
1386892362 Tennille Alycee Smelcer Nurse Practitioner 213 S Jefferson Street, Suite 625, Roanoke, VA 24011-1700 2008-09-03
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437621950 Lifeforce Counseling and Consulting, LLC Community/Behavioral Health 4800 Pleasant Hill Dr Ste 202, Roanoke, VA 24018-3406 2018-12-21
1689186090 Family Preservation Services, Inc Community/Behavioral Health 6328 Merriman Rd, Roanoke, VA 24018-6624 2017-10-26
1013467000 Jude's Place LLC Community/Behavioral Health 13537 Lost Spurs Rd, Roanoke, TX 76262-4508 2016-10-13
1679932396 Strategic Therapy Associates Community/Behavioral Health 4664 Brambleton Ave, Roanoke, VA 24018-3411 2016-02-23
1609240043 Family Counseling of Roanoke, LLC Community/Behavioral Health 3524 Brambleton Ave Ste 3, Roanoke, VA 24018-6528 2015-11-23
1497123657 Family Preservation Services, Inc Community/Behavioral Health 3649 Ferncliff Ave Nw, Roanoke, VA 24017-1411 2015-09-04
1093182891 Vianney Marengo Community/Behavioral Health 5460 Gloster Dr Apt 1a, Roanoke, VA 24019-6078 2015-08-27
1982009098 Re-direct Youth Services Community/Behavioral Health 526 Rorer Ave Sw, Roanoke, VA 24016-3604 2014-10-31
1295146405 Family Preservation Services, Inc Community/Behavioral Health 3142 Preston Avenue, Roanoke, VA 24901 2014-05-12
1700297876 Phoenix LLC Community/Behavioral Health 4919 Brambleton Ave, Roanoke, VA 24018-4149 2014-05-12
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Competitor

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City ROANOKE
Zip Code 24011

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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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