Organization Active NPI

Tri Counties Behavioral Health Services, LLC

  • Community/Behavioral Health Agency
  • Lawrenceville, VA
National Provider Identifier
1093313868
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRI COUNTIES BEHAVIORAL HEALTH SERVICES, LLC
Practice address
1807 Piney Woods Road
Lawrenceville, VA 23868
Phone
(704) 351-0213
NPI assigned
Oct 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Shevon Newell ValentineNPI 1689047771
Title
Owner/ Managing Member
Phone
(704) 351-0213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1807 Piney Woods Road
Lawrenceville, VA 23868

Mailing address

1807 Piney Woods Road
Lawrenceville, VA 23868
Phone (704) 351-0213

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1093313868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 PINEY WOODS ROAD",
            "city": "LAWRENCEVILLE",
            "state": "VA",
            "postal_code": "23868",
            "telephone_number": "704-351-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 PINEY WOODS ROAD",
            "city": "LAWRENCEVILLE",
            "state": "VA",
            "postal_code": "23868",
            "telephone_number": "704-351-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTIES BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "SHEVON",
        "authorized_official_middle_name": "NEWELL",
        "authorized_official_title_or_position": "OWNER/ MANAGING MEMBER",
        "authorized_official_telephone_number": "704-351-0213"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.