Southside Behavioral Health in Clarksville - Mental Health

Southside Behavioral Health - NPI 1700890761

Southside Behavioral Health is a Mental Health in Clarksville, Virginia. Southside Behavioral Health practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Southside Behavioral Health is 1700890761. The last update date is 2021-03-09.

Southside Behavioral Health's current location address is Po Box 1478, Clarksville, Virginia. You can contact this provider via phone number 4345726916 and fax number 4343743321. The mailing address for Southside Behavioral Health is Po Box 1478, Clarksville, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southside Behavioral Health
Address Po Box 1478, Clarksville, Virginia
Phone Number 4345726916
Fax Number 4343743321
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Engelhorn C Elizabeth
Credentials LPC
Telephone Number 4345726916

NPI Number Detail

NPI Number 1700890761
Provider Enumeration Date 2006-07-27
Last Updated Date 2021-03-09

Provider Mailing Address Detail

Address Po Box 1478
City Clarksville
State Virginia (VA)
Post Code 23927
Phone Number 4345726916
Fax Number 4343743321

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 90
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4945514 VA --
1912252958 VA --
1700890761 VA --
CC3355 VA MEDICARE RAILROAD

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FAQs about Southside Behavioral Health

What is the unique 10-digit identification code assigned to Southside Behavioral Health by the Centers for Medicare & Medicaid Services?

The Southside Behavioral Health has been issued the NPI (National Provider Identifier) 1700890761, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Southside Behavioral Health is geographically located?

The Southside Behavioral Health is physically situated at the following location: Po Box 1478, Clarksville, VA, 23927.

What is Southside Behavioral Health's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Southside Behavioral Health is Mental Health, and the corresponding taxonomy classification code for this specialized field is 101Ym0800X.

When did Southside Behavioral Health receive its 1700890761 assignment?

The Southside Behavioral Health was assigned its 1700890761 on 2006-07-27, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Southside Behavioral Health most recently updated or revised?

The details related to Southside Behavioral Health, including its address, specialty, and other relevant information, were last updated or revised on 2021-03-09.

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