Healthcare Provider Details

I. General information

NPI: 1770948648
Provider Name (Legal Business Name): CALM SOURCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2015
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 S MAIN ST
DANVILLE VA
24541-2921
US

IV. Provider business mailing address

103 S MAIN ST
DANVILLE VA
24541-2921
US

V. Phone/Fax

Practice location:
  • Phone: 434-835-2370
  • Fax: 434-835-2028
Mailing address:
  • Phone: 434-835-2370
  • Fax: 434-227-5430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number907748
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. VERONICA ONSUREZ-PANNELL III
Title or Position: CHIEF CLINICAL OFFICER
Credential: LPC VA/TX
Phone: 434-835-2370