| Clarksville Counseling Center, Plc | |
|
403 Virginia Avenue Suite F Clarksville VA 23927 | |
| (434) 374-3222 | |
| (434) 374-3223 |
| Full Name | Clarksville Counseling Center, Plc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 403 Virginia Avenue, Clarksville, Virginia |
| Authorized Official Name and Position | Richard Castle (OWNER) |
| Authorized Official Contact | 4343743222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarksville Counseling Center, Plc Po Box 405 Clarksville VA 23927-0405 Ph: (434) 374-3222 | Clarksville Counseling Center, Plc 403 Virginia Avenue Suite F Clarksville VA 23927 Ph: (434) 374-3222 |
| NPI Number | 1083792261 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083792261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0701003393 (Virginia) | Primary |
Southside Behavioral Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 143 Industrial Parkway, Clarksville, VA 23927 Phone: 434-572-6916 Fax: 434-374-3321 |