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Contact Information

BRAMBLETON ASSESSMENT AND COUNSELING CENTER
3536 BRAMBLETON AVENUE, SW
SUITE 3
ROANOKE, VA24018
 Phone: 540-580-0975
 Fax: 540-777-5453
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for BRAMBLETON ASSESSMENT AND COUNSELING CENTER

NPI # 1194142836
LBN Legal business name BRAMBLETON ASSESSMENT AND COUNSELING CENTER
Authorized official STEPHANIE GOODBAR - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2014
Last updated 04/18/2018 - About 8 years ago
Identifiers
VA License # 0904001648
VA Medicaid 8916641
VA Other 396724 ANTHEM
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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