Organization
STARKE BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE CARLTON STARKE LPC (OWNER)
(434) 292-1104
Entity
Organization
Contact information
Practice address
120 W BROAD ST, BLACKSTONE, VA 23824-1710
(804) 586-1587
Mailing address
120 W BROAD ST, BLACKSTONE, VA 23824-1710
(804) 586-1587
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/07/2012
Last updated
10/17/2017
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