Organization
WINCHESTER COMMUNITY MENTAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN PUIG (PRESIDENT)
(540) 535-1112
Entity
Organization
Contact information
Practice address
36 RICKETTS DR, WINCHESTER, VA 22601-3676
(540) 535-1112
(540) 535-1155
Mailing address
36 RICKETTS DR, WINCHESTER, VA 22601-3676
(540) 535-1112
(540) 535-1155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/26/2009
Last updated
03/20/2023
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