Starke Behavioral Health Services LLC

Organization Active NPI Community/Behavioral Health Agency · Blackstone, VA

NPI 1376804120 · NPPES record last updated Oct 17, 2017

Key facts

NPI
1376804120
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
STARKE BEHAVIORAL HEALTH SERVICES LLC
Practice address
120 W Broad St
Blackstone, VA 23824-1710
Phone
(804) 586-1587
NPI assigned
Jun 7, 2012
Organization subpart
No

Authorized official

Name
Lawrence Carlton Starke, LPC
Title
Owner
Phone
(434) 292-1104

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

120 W Broad St
Blackstone, VA 23824-1710

Mailing address

120 W Broad St
Blackstone, VA 23824-1710
Phone (804) 586-1587

Other providers in Blackstone, VA

All providers in Blackstone, VA · Community/Behavioral Health Agency in Virginia

Sources for this page

Verify at the official NPI Registry.