Healthcare Provider Details

I. General information

NPI: 1730512237
Provider Name (Legal Business Name): PRAISES MENTAL HEALTH SERVICES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2013
Last Update Date: 08/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

263 FRANKLIN ST STE 5
ROCKY MOUNT VA
24151-1356
US

IV. Provider business mailing address

263 FRANKLIN ST STE 5
ROCKY MOUNT VA
24151-1356
US

V. Phone/Fax

Practice location:
  • Phone: 540-482-0380
  • Fax: 540-482-0348
Mailing address:
  • Phone: 540-482-0380
  • Fax: 540-482-0348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. GAMEL LINETTA MCGHEE
Title or Position: DIRECTOR
Credential: BSW,QMRP
Phone: 540-204-2206