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General NPI Number Information
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NPI Number | 1821885252
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Entity Type | Organization
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Legal Business Name | BLUE RIDGE BEHAVIORAL CONSULTING
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 116 W PICCADILLY ST STE 5
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City | WINCHESTER
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State | VA
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Zip | 22601-3956
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Country | US
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Telephone | 540-300-1237
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Fax |
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Provider Business Mailing Address
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Address Line | 400 NORTHWOOD CIR
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City | CROSS JUNCTION
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State | VA
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Zip | 22625-2531
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISA ROUNDS
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Credential |
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Telephone | 540-336-8964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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