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1200 West Llc
Mental Health Counselor in Blacksburg, Virginia
NPI 1871004077

1200 West Llc is a Mental Health Counselor based in Lynchburg, VA and is specialized in Mental Health. 1200 West Llc practices in Blacksburg, VA. The NPI Number for 1200 West Llc is 1871004077 and holds a License No. (Virginia).

The current practice location address for 1200 West Llc is 106 Southpark Dr Ste C, Blacksburg, VA and can be reached out via phone at 540-376-3348.

Location: 106 Southpark Dr Ste C, Blacksburg, VA, 24502-5341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871004077
Provider Name
1200 West Llc
Credential
Provider Entity Type
Organization
Address
106 Southpark Dr Ste C, Blacksburg, VA, 24502-5341
Phone Number
540-376-3348
Fax Number
Provider Enumeration Date
10/16/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
106 Southpark Dr Ste C
City
Blacksburg
State
Virginia
Zip
24060-6809
Phone Number
540-376-3348
Fax Number
person
Provider Business Mailing Address Details
Address
106 Southpark Dr Ste C
City
Blacksburg
State
Virginia
Zip
24060-6809
Phone Number
540-376-3348
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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