Blue Ridge Support Services, LLC

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Galax, VA

NPI 1134041031 · NPPES record last updated Jul 29, 2026

Key facts

NPI
1134041031
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Legal business name
BLUE RIDGE SUPPORT SERVICES, LLC
Practice address
1135 S Main St
Galax, VA 24333-4409
Phone
(540) 808-3380
NPI assigned
Jul 29, 2026
Organization subpart
No

Authorized official

Name
Dara Hicks
Title
Managing Member
Phone
(540) 808-3380

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Yes

Addresses

Primary practice location

1135 S Main St
Galax, VA 24333-4409

Mailing address

1135 S Main St
Galax, VA 24333-4409
Phone (540) 808-3380

Other providers in Galax, VA

All providers in Galax, VA · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

Sources for this page

Verify at the official NPI Registry.