Organization
BLUEFIELD MENTAL HEALTH CENTER, PC
Active
Organization
BLUEFIELD MENTAL HEALTH CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARVEEN RIAZ CPA (SEC/TREASURER)
(304) 952-8637
Entity
Organization
Contact information
Practice address
315 COURTHOUSE RD, PRINCETON, WV 24740-2421
(304) 952-8637
(866) 239-0601
Mailing address
5823 WINNBROOK DR, ROANOKE, VA 24018-7894
(304) 952-8637
(866) 239-0601
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
41818
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000507728
BCBS WV DR.RIAZ
WV
01
—
001708620
BCBS WV GROUP
WV
05
—
0116701000
—
WV
05
—
0201433000
—
WV
01
—
036490
VALUE OPTIONS
—
01
—
103632
FEDERAL BLACK LUNG
—
01
—
142001400
US DEPARTMENT OF LABOR
—
01
—
242366000
MAGELLAN
—
01
—
379529
MAMSI
—
01
—
454028
ANTHEM
VA
05
—
7116934
—
VA
Enumeration date
07/23/2006
Last updated
06/25/2015
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