Healthcare Provider Details

I. General information

NPI: 1649377912
Provider Name (Legal Business Name): ROCKBRIDGE AREA COMMUNITY SERVICES BOARD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/01/2022
Certification Date: 09/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 GREENHOUSE RD
LEXINGTON VA
24450-3717
US

IV. Provider business mailing address

241 GREENHOUSE RD
LEXINGTON VA
24450-3717
US

V. Phone/Fax

Practice location:
  • Phone: 540-463-3141
  • Fax: 540-462-6716
Mailing address:
  • Phone: 540-463-3141
  • Fax: 540-462-6716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHELE G. MATHIS
Title or Position: CFO
Credential:
Phone: 540-463-3141