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Contact Information

SOUTH CENTRAL COUNSELING GROUP
1046 MAIN STREET
DILLWYN, VA23936
 Phone: 434-808-0604
 Fax: 434-808-0716
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for SOUTH CENTRAL COUNSELING GROUP

NPI # 1619255601
LBN Legal business name SOUTH CENTRAL COUNSELING GROUP
Authorized official STACI VINSON - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/26/2011
Last updated 07/26/2011 - About 15 years ago
Identifiers
VA License # 0904006760
VA Medicaid 1093004871
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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