Active NPI
Sobrius at Lynchburg, LLC
- Substance Abuse Rehabilitation Facility
- Lynchburg, VA
National Provider Identifier
1760160550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- SOBRIUS AT LYNCHBURG, LLC
- Practice address
- 20715 Timberlake Rd
Lynchburg, VA 24502-7200 - Phone
- (276) 601-2736
- Fax
- (276) 618-7246
- NPI assigned
- Jul 11, 2023
- 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
- Douglas A Fullaway
- Title
- Cfo
- Phone
- (503) 329-6687
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
20715 Timberlake Rd
Lynchburg, VA 24502-7200
Mailing address
506 Cliffview Rd
Galax, VA 24333-5084
Phone (276) 601-2736
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759276800000",
"number": "1760160550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 CLIFFVIEW RD",
"city": "GALAX",
"state": "VA",
"postal_code": "243335084",
"telephone_number": "276-601-2736",
"fax_number": "276-618-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20715 TIMBERLAKE RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245027200",
"telephone_number": "276-601-2736",
"fax_number": "276-618-7246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOBRIUS AT LYNCHBURG, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-11",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A",
"authorized_official_last_name": "FULLAWAY",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "503-329-6687"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.