Healthcare Provider Details

I. General information

NPI: 1649205212
Provider Name (Legal Business Name): VALLEY COMMUNITY SERVICES BOARD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 SANGERS LN
STAUNTON VA
24401-6712
US

IV. Provider business mailing address

85 SANGERS LN
STAUNTON VA
24401-6712
US

V. Phone/Fax

Practice location:
  • Phone: 540-887-3200
  • Fax:
Mailing address:
  • Phone: 540-887-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MELISSA DOYLE
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 540-887-3200