Sw Va Psychological Services

LBN: Sw Va Psychological Services
Sw Va Psychological Services is an health care organization with primary practice located at 361B Falls Dr Nw , Abingdon VA 24210-8093. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Sw Va Psychological Services can be contacted via phone (276) 628-5752, or through Ludgate, John Wallace via phone (276) 628-5752.

Contact Information

Primary practice address
361B Falls Dr Nw Abingdon VA 24210-8093
Phone: (276) 628-5752
Fax: (276) 628-5190
Website:
Map and Directions
Authorized official contact:
Name: Ludgate, John Wallace PH.D
Phone: (276) 628-5752

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0810002165 Virginia

Profile Details

NPI number 1063662229
LBN Legal business name Sw Va Psychological Services
DBA Doing business as
Authorized official Ludgate, John Wallace PH.D
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2008
Last updated Sep 24th, 2008 - about 17 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 1063662229 NPPES
Virginia MEDICAID 007703171

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