Healthcare Provider Details

I. General information

NPI: 1730136151
Provider Name (Legal Business Name): ALLEGHANY HIGHLANDS COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 S MONROE AVE
COVINGTON VA
24426-1635
US

IV. Provider business mailing address

205 E HAWTHORNE ST
COVINGTON VA
24426-1620
US

V. Phone/Fax

Practice location:
  • Phone: 540-965-2100
  • Fax:
Mailing address:
  • Phone: 540-965-2135
  • Fax: 540-965-2135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number12716001
License Number StateVA

VIII. Authorized Official

Name: PATTY FLANAGAN
Title or Position: FISCAL OFFICER
Credential:
Phone: 540-965-2135