New River Behavioral Health and Associates,LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1758 Issued in VA

Legal business name

NEW RIVER BEHAVIORAL HEALTH AND ASSOCIATES,LLC

Practice address

175 W Main St Ste 204
Wytheville, VA 24382-2374

Phone

(276) 223-0234

Fax

(276) 223-0123

NPI assigned

Jun 7, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert Ernest Wallace, MS, QMHP

Title

Ceo

Phone

(276) 223-0234

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1043572886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W MAIN ST STE 204",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822374",
            "telephone_number": "276-223-0234",
            "fax_number": "276-223-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W MAIN ST STE 204",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822374",
            "telephone_number": "276-223-0234",
            "fax_number": "276-223-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW RIVER BEHAVIORAL HEALTH AND ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "276-223-0234",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, QMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "1758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• N Paul Morin II MD PC
• N Paul Morin II MD PC
• James W Nachbar, MD
• Nathan Scott Houchins P.C.
• Sarah Hawsey Nester, DPT
• New River Hope Center
• Amie S Newberry, PT
• Jessica L Newman, NP-C
• Denice M Olinger, LPC
• Omnipoint Surgical Associates LLC

• Mental Health Counselor in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.