Organization
CUMBERLAND MOUNTAIN COMMUNITY SERVICES
Active
Organization
CUMBERLAND MOUNTAIN COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARY F. COLE LCSW (EXECUTIVE DIRECTOR)
(276) 964-6702
Entity
Organization
Contact information
Practice address
113 CUMBERLAND RD, CEDAR BLUFF, VA 24609-1137
(276) 964-6702
(276) 964-5669
Mailing address
PO BOX 810, CEDAR BLUFF, VA 24609-0810
(276) 964-6702
(276) 964-5669
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945522
—
VA
Enumeration date
09/27/2005
Last updated
03/21/2024
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