Tekoa, Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

SS-274-06 Issued in VA

Legal business name

TEKOA, INC

Practice address

448 Depot St NE
Christiansburg, VA 24073-2050

Phone

(540) 260-3430

Fax

(540) 260-3431

NPI assigned

Oct 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert G Sisk Jr.

Title

Executive Director

Phone

(540) 382-2002

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Dawn White, M.S., L.P.C.

  • Professional Counselor
  • Christiansburg, VA
  • NPI 1750469227
  NPD (past)
• Margaret O Yates, LCSW

  • Clinical Social Worker
  • Christiansburg, VA
  • NPI 1174547236
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720162472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 CAMBRIA STREET",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "24073",
            "telephone_number": "540-382-2002",
            "fax_number": "540-382-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 DEPOT ST NE",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240732050",
            "telephone_number": "540-260-3430",
            "fax_number": "540-260-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEKOA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SISK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "540-382-2002",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "VA",
            "license": "SS-274-06",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Tarasidis, PHARMD
• Theresa Taylor-Graham
• Jill Leanne Taylor
• Laura Taylor, LPC
• Victoria Jean Taylor, LIC. AC
• Catherine H Terry, SLP
• Traci Walters Terry, LPC
• That Counseling Place, LLC
• Theraluma, LLC
• Joseph Bennett Thies, M.D.

• Emotionally Disturbed Childrens' Residential Treatment Facility in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.