Bryan Lindberg
Organization Active NPI Community/Behavioral Health Agency · Galax, VA
NPI 1689383754 · NPPES record last updated May 6, 2024
Key facts
- NPI
- 1689383754
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- BRYAN LINDBERG
- Practice address
- 223 S Main St
Galax, VA 24333-3911 - Phone
- (276) 236-8888
- NPI assigned
- Nov 17, 2022
- Organization subpart
- No
Authorized official
- Name
- Bryan Lindberg
- Title
- Provider/Owner
- Phone
- (276) 236-8888
Practitioners 2
-
Bryan E Lindberg, LMFT
-
Leanne Quesenberry, LPC
National Provider Directory
Locations
223 S Main St
Galax, VA 24333
Phone (276) 233-6368
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | |||
| Marriage & Family Therapist |
106H00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
223 S Main St
Galax, VA 24333-3911
Mailing address
223 S Main St
Galax, VA 24333-3911
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004945298 | Medicaid | VA |
Other names
- Marriage and Family Therapy Center
Other providers in Galax, VA
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- Erin Kelly Boyington
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- Angela Bryant
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All providers in Galax, VA · Community/Behavioral Health Agency in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.