NPI Code Details Logo

NPI 1336944370

NPI 1336944370 : COMPREHAB LLC : DANVILLE, VA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1336944370
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    COMPREHAB LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/14/2025
-----------------------------------------------------
    Last Update Date     |    08/19/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    512 WESTOVER DR 
-----------------------------------------------------
    City                 |    DANVILLE
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    24541-4104
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    434-548-0334
-----------------------------------------------------
    Fax                  |    434-425-0990
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 749 
-----------------------------------------------------
    City                 |    BELMONT
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28012-0749
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    888-580-6180
-----------------------------------------------------
    Fax                  |    980-866-4741
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PAYER RELATIONS
-----------------------------------------------------
    Name                 |     HEATHER  QUILLEN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    704-271-1213
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    103T00000X
-----------------------------------------------------
    Taxonomy Name        |    Psychologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    106E00000X
-----------------------------------------------------
    Taxonomy Name        |    Assistant Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    106S00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Technician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    225X00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.