Organization
FRONTIER HEALTH
Active
Other names
Scott County Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTI LYNN BLALOCK MBA (DIRECTOR OF CONTRACTING/ COMPLIANCE)
(423) 467-3741
Entity
Organization
Contact information
Practice address
1006 US HIGHWAY 23N, WEBER CITY, VA 24290
(276) 225-0976
(423) 467-3644
Mailing address
PO BOX 9054, 1167 SPRATLIN PARK DRIVE, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
315-16-001
VA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
315-05-001
VA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
315-07-004
VA
385H00000X
Respite Care
315-03-001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49-4924-2
—
VA
Enumeration date
12/29/2006
Last updated
03/12/2025
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