Healthcare Provider Details

I. General information

NPI: 1881517290
Provider Name (Legal Business Name): ROCKBRIDGE PSYCHIATRIC MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 N MAIN ST STE 300
LEXINGTON VA
24450-2654
US

IV. Provider business mailing address

203 N MAIN ST STE 300
LEXINGTON VA
24450-2654
US

V. Phone/Fax

Practice location:
  • Phone: 540-227-4705
  • Fax: 877-767-7563
Mailing address:
  • Phone: 540-227-4705
  • Fax: 877-767-7563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: LAURA COOK
Title or Position: PHYSICIAN ASSISTANT
Credential: PA-C
Phone: 540-227-4705