Active NPI
Mental Health Community Based Resources
- Community/Behavioral Health Agency
- Charlotte Court House, VA
National Provider Identifier
1407082811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1304
- Legal business name
- MENTAL HEALTH COMMUNITY BASED RESOURCES
- Practice address
- 515 George Washington Hwy
Charlotte Court House, VA 23923 - Phone
- (434) 542-5448
- Fax
- (434) 542-5448
- NPI assigned
- Jun 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Joyce Willis, LCSW, LSATP
- Title
- Clinical Director
- Phone
- (434) 542-5448
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 1304 | VA | Primary |
Addresses
Primary practice location
515 George Washington Hwy
Charlotte Court House, VA 23923
Mailing address
PO Box 67
Charlotte Court House, VA 23923-0067
Phone (434) 542-5448
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243814400000",
"number": "1407082811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67",
"city": "CHARLOTTE COURT HOUSE",
"state": "VA",
"postal_code": "239230067",
"telephone_number": "434-542-5448",
"fax_number": "434-542-5448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 GEORGE WASHINGTON HWY",
"city": "CHARLOTTE COURT HOUSE",
"state": "VA",
"postal_code": "23923",
"telephone_number": "434-542-5448",
"fax_number": "434-542-5448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENTAL HEALTH COMMUNITY BASED RESOURCES",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-01",
"last_updated": "2009-06-01",
"status": "A",
"authorized_official_last_name": "WILLIS",
"authorized_official_first_name": "JOYCE",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "434-542-5448",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW, LSATP"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "VA",
"license": "1304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte Court House, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.