Healthcare Provider Details

I. General information

NPI: 1689139560
Provider Name (Legal Business Name): SEVEN HILLS COMMUNITY CHURCH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2019
Last Update Date: 02/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3114 MEMORIAL AVE
LYNCHBURG VA
24501-3730
US

IV. Provider business mailing address

3114 MEMORIAL AVE
LYNCHBURG VA
24501-3730
US

V. Phone/Fax

Practice location:
  • Phone: 434-515-2458
  • Fax:
Mailing address:
  • Phone: 434-515-2458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: THOMAS AARON TASCONE
Title or Position: REVEREND/CEO
Credential: B.C.P.C, B.S.PSY
Phone: 434-329-1730