Organization Active NPI

Mental Health Community Based Resources

  • Community/Behavioral Health Agency
  • Charlotte Court House, VA
National Provider Identifier
1407082811
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1304 Issued in VA
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

Updated by the provider on Jun 1, 2009

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.