Healthcare Provider Details

I. General information

NPI: 1154284842
Provider Name (Legal Business Name): VIRGINIA HARM REDUCTION COALITION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 ALBEMARLE AVE SW
ROANOKE VA
24016-4602
US

IV. Provider business mailing address

350 ALBEMARLE AVE SW
ROANOKE VA
24016-4602
US

V. Phone/Fax

Practice location:
  • Phone: 540-541-2022
  • Fax: 877-865-5829
Mailing address:
  • Phone: 540-541-2022
  • Fax: 877-865-5829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ARIEL LEE JOHNSON
Title or Position: DIRECTOR
Credential: LCSW
Phone: 276-224-8491