Organization
FAMILY SERVICE OF ROANOKE VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LINDA HENTSCHEL (CEO)
(540) 563-5316
Entity
Organization
Contact information
Practice address
360 CAMPBELL AVE SW, ROANOKE, VA 24016-3625
(540) 563-5316
(540) 563-5254
Mailing address
360 CAMPBELL AVE SW, ROANOKE, VA 24016-3625
(540) 563-5316
(540) 563-5254
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457397457
—
VA
01
—
240338
ANTHEM BC/BS
VA
01
—
CC0469
RAILROAD MEDICARE GROUP
VA
Enumeration date
06/20/2006
Last updated
11/03/2023
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