Country Roads Healthcare, Llc

LBN: Country Roads Healthcare, Llc
Country Roads Healthcare, Llc is an health care organization with primary practice located at 833 Robert C Byrd Dr , Sophia WV 25921. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Addiction Medicine, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Medical Specialty, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Agencies / Community/Behavioral Health is the primary health care specialty. Country Roads Healthcare, Llc can be contacted via phone (304) 578-6355, or through Morris, Traci Lynn via phone (304) 578-6355.

Contact Information

Primary practice address
833 Robert C Byrd Dr Sophia WV 25921
Phone: (304) 578-6355
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Morris, Traci Lynn APRN,FNP-C, PMHNP-BC
Phone: (304) 578-6355

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1821849274
LBN Legal business name Country Roads Healthcare, Llc
DBA Doing business as
Authorized official Morris, Traci Lynn APRN,FNP-C, PMHNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2024
Last updated Apr 1st, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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