Dickenson County Community Services Board

LBN: Dickenson County Behavioral Health Services
Dickenson County Community Services Board is an health care organization with primary practice located at 440 Fox Town Rd , Clintwood VA 24228-5077. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Dickenson County Behavioral Health Services can be contacted via phone (276) 926-1682, or through Mullins, Kevin via phone (276) 926-1682.

Contact Information

Primary practice address
440 Fox Town Rd Clintwood VA 24228-5077
Phone: (276) 926-1682
Fax: (276) 926-9179
Website:
Map and Directions
Authorized official contact:
Name: Mullins, Kevin Master of Arts (MA)
Phone: (276) 926-1682

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 091-07-004 Virginia
Agencies / Case Management 251B00000X 091-16-001 Virginia
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 091-16-001 Virginia
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 091-01-001 Virginia

Profile Details

NPI number 1649209990
LBN Legal business name Dickenson County Behavioral Health Services
DBA Doing business as Dickenson County Community Services Board
Authorized official Mullins, Kevin Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2006
Last updated Feb 28th, 2022 - about 3 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649209990 NPPES
Virginia Other 542636 VALUE OPTIONS
Virginia MEDICAID 004945549 VALUE OPTIONS
Virginia Other 542631 VALUE OPTIONS
Virginia Other 324879 VALUE OPTIONS
Virginia Other 385241 VALUE OPTIONS

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