Organization Name: | WYTHE WELLBEING, EMOTIONAL AND BEHAVIORAL HEALTH, LLC |
NPI Number: | 1215270467 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ASHLEY REY IHRIG (THERAPIST/ CLINICAL SOCIAL WORKER) |
Mailing Address: | 150 W Main St Suite B Wytheville |
State: | VA US |
Postal Code: | 243822376 |
Phone Number: | 2765468388 |
Fax Number: | 2765468733 |
NPI Enumeration Date: | 04/05/2013 |
NPI Last Update Date: | 04/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | VA0904005700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |