Child/Adolescent Psych Program

LBN: Centra Health Professional Services, Llc
Child/Adolescent Psych Program is an health care organization with primary practice located at 3300 Rivermont Ave , Lynchburg VA 24503-2030. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as the primary health care specialty. Centra Health Professional Services, Llc can be contacted via phone (434) 200-5999, or through Addison, Lewis via phone (434) 200-3656.

Contact Information

Primary practice address
3300 Rivermont Ave Lynchburg VA 24503-2030
Phone: (434) 200-5999
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Addison, Lewis
Phone: (434) 200-3656

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1235480351
LBN Legal business name Centra Health Professional Services, Llc
DBA Doing business as Child/Adolescent Psych Program
Authorized official Addison, Lewis
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 28th, 2012
Last updated Sep 28th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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