Healthcare Provider Details

I. General information

NPI: 1821885252
Provider Name (Legal Business Name): BLUE RIDGE BEHAVIORAL CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 W PICCADILLY ST STE 5
WINCHESTER VA
22601-3956
US

IV. Provider business mailing address

400 NORTHWOOD CIR
CROSS JUNCTION VA
22625-2531
US

V. Phone/Fax

Practice location:
  • Phone: 540-300-1237
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LISA ROUNDS
Title or Position: OWNER
Credential:
Phone: 540-336-8964