Organization
COUNTY OF LOUDOUN, VIRGINIA
Active
Parent organization
COUNTY OF LOUDOUN, VIRGINIA
Other names
Loudoun County Community Services Board
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF LOUDOUN, VIRGINIA
Authorized official
MS. MARGARET GRAHAM (AGENCY DIRECTOR)
(703) 771-5406
Entity
Organization
Contact information
Practice address
102 HERITAGE WAY NE, SUITE 310, LEESBURG, VA 20176-4544
(703) 737-8677
(703) 737-8676
Mailing address
906 TRAILVIEW BLVD SE, SUITE C, LEESBURG, VA 20175-4415
(703) 737-8677
(703) 737-8676
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
143
VA
251C00000X
Developmentally Disabled Services Day Training Agency
143
VA
251S00000X
Community/Behavioral Health Agency
143
VA
252Y00000X
Early Intervention Provider Agency
143
VA
261QD1600X
Developmental Disabilities Clinic/Center
143
VA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
143
VA
261QR0400X
Rehabilitation Clinic/Center
143
VA
310500000X
Mental Illness Intermediate Care Facility
143
VA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
143
VA
320800000X
Mental Illness Community Based Residential Treatment Facility
143
VA
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
143
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945140
—
VA
05
—
004980433
—
VA
05
—
008743673
—
VA
01
—
187217
ANTHEM SLP
VA
01
—
187219
ANTHEM OT
VA
01
—
187220
ANTHEM PT
VA
01
—
LCCB
AMERIGROUP - VIRGINIA
VA
Enumeration date
08/30/2006
Last updated
01/26/2017
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