Organization
DICKENSON COUNTY BEHAVIORAL HEALTH SERVICES
Active
Other names
Dickenson County Community Services Board
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN MULLINS MA (EXECUTIVE DIRECTOR)
(276) 926-1682
Entity
Organization
Contact information
Practice address
440 FOX TOWN RD, CLINTWOOD, VA 24228-5077
(276) 926-1682
(276) 926-9179
Mailing address
PO BOX 309, CLINTWOOD, VA 24228-0309
(276) 926-1682
(276) 926-8134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
091-07-004
VA
251B00000X
Case Management Agency
091-16-001
VA
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
091-16-001
VA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
091-01-001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945549
—
VA
01
—
324879
TRIGON
VA
01
—
385241
TRIGON
VA
01
—
542631
VALUE OPTIONS
VA
01
—
542636
VALUE OPTIONS
VA
Enumeration date
06/30/2006
Last updated
02/28/2022
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