Organization
MARTINSVILLE PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA RENEE JEWELL PMHNP (OWNER, EMPLOYEE)
(276) 618-1128
Entity
Organization
Contact information
Practice address
22 E CHURCH ST STE 308, MARTINSVILLE, VA 24112-6208
(276) 618-1125
Mailing address
410 LEES RIDGE RD, MARTINSVILLE, VA 24112-0512
(276) 618-1125
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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