Organization Name: | SOUTHWESTERN VIRGINIA COUNSELING AND PSYCHOLOGICAL SERVICES |
NPI Number: | 1083799597 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT W SMITH (OWNER) |
Mailing Address: | 1035 W Main St Ste A Wytheville |
State: | VA US |
Postal Code: | 243822106 |
Phone Number: | 2762286900 |
Fax Number: | 2762286910 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |