Organization
BLACKSTONE COUNSELING & BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FISHER MBA (OFFICE MANAGER)
(434) 264-3209
Entity
Organization
Contact information
Practice address
116 W BROAD ST, BLACKSTONE, VA 23824-1710
(434) 264-3209
(434) 264-3224
Mailing address
PO BOX 360, BLACKSTONE, VA 23824-0360
(434) 264-3209
(434) 264-3224
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
04/29/2024
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