=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730136151
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALLEGHANY HIGHLANDS COMMUNITY SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/30/2006
-----------------------------------------------------
Last Update Date | 05/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 311 S MONROE AVE
-----------------------------------------------------
City | COVINGTON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24426-1635
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-965-2100
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 205 E HAWTHORNE ST
-----------------------------------------------------
City | COVINGTON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24426-1620
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-965-2135
-----------------------------------------------------
Fax | 540-965-2135
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FISCAL OFFICER
-----------------------------------------------------
Name | PATTY FLANAGAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 540-965-2135
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 252Y00000X
-----------------------------------------------------
Taxonomy Name | Early Intervention Provider Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number | 12716001
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------