# STAR BEHAVIORAL HEALTH, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** star health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376011650
- **Authorized official:** PAMELA A RUPPEL PMHNP (NURSE PRACTITIONER/CEO)
- **Authorized official phone:** (540) 512-9754

## Contact information

- **Practice address:** 3505 BRAMBLETON AVE, ROANOKE, VA 24018-6521
- **Practice address phone:** (540) 512-9754
- **Practice address fax:** (540) 512-9148
- **Mailing address:** 3505 BRAMBLETON AVE, ROANOKE, VA 24018-6521
- **Mailing address phone:** (540) 512-9754
- **Mailing address fax:** (540) 512-9148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2018
- **Last updated:** 04/06/2023
