Organization
ROANOKE RESOURCE LLC
Active
Organization
ROANOKE RESOURCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CELIA LEA MCCAULEY-WITTL DNP, FNP, PMHNP (OPERATIONS COORDINATOR)
(540) 400-7431
Entity
Organization
Contact information
Practice address
402 CAMPBELL AVE SW, ROANOKE, VA 24016-3627
(540) 400-7431
(540) 400-7091
Mailing address
402 CAMPBELL AVE SW, ROANOKE, VA 24016-3627
(540) 400-7431
(540) 400-7091
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
11/05/2012
Last updated
01/07/2025
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