VALLEY BEHAVIORAL HEALTH LLC (NPI# 1083109995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083109995 |
| Entity Type | Organization |
| Organization Name | VALLEY BEHAVIORAL HEALTH LLC |
| Practice Address |
3505 Village Dr Fayetteville NC 28304-4513 |
| Mailing Address |
Po Box 2000 Fayetteville NC 28302-2000 |
| Practice Telephone | 9106159899 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Authorized Official Name | JOSEPH B FISER (VP MANAGED CARE & CORPORATE REVENUE) |
| Authorized Official Telephone | 9106155572 |
| Is Organization Subpart | Y |
| Parent Organization Name | CUMBERLAND COUNTY HOSPITAL SYSTEM INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Valley Behavioral Health LLC | 1638 Owen Drive, Fayetteville, NC 28304 |
| Street Address |
3505 VILLAGE DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-4513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639186240 | Sylvester Unchenna Ejeh | Specialist | 3505 Village Dr, Fayetteville, NC 28304-4553 | 2006-08-03 |
| 1114527546 | Towania Caldwell | Counselor | 3505 Village Dr, Fayetteville, NC 28304-4513 | 2020-10-26 |
| 1104423284 | Deandra Michelle Parker | Case Manager/Care Coordinator | 3505 Village Dr, Fayetteville, NC 28304-4513 | 2020-10-02 |
| 1609482439 | Centerstone of Tennesse Inc. | Clinic/Center | 3505 Village Dr, Fayetteville, NC 28304-4513 | 2020-09-17 |
| 1134747447 | Marfa Merlin Nicanor | Social Worker | 3505 Village Dr, Fayetteville, NC 28304-4513 | 2020-07-13 |
| 1578189734 | Mary Therese Martin | Social Worker | 3505 Village Dr, Fayetteville, NC 28304-4513 | 2020-06-23 |
| 1881164721 | Chanon Vanice Robinson | Social Worker | 3505 Village Dr, Fayetteville, NC 28304-4513 | 2018-12-04 |
| 1114479839 | Kami Annette Perez | Counselor | 3505 Village Dr, Fayetteville, NC 28304-4513 | 2016-10-28 |
| 1255636031 | Teresita Claret Ruoff | Physician Assistant | 3505 Village Dr, Fayetteville, NC 28304-4553 | 2011-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609316694 | Suzanne Nicholas LLC | Psychiatry & Neurology | 2224 Riverfront Ln, Fayetteville, AR 72703-9527 | 2017-02-24 |
| 1417310491 | Murray Fork Clinic, PC | Psychiatry & Neurology | 6020 Morganton Road, Fayetteville, NC 28314-1352 | 2016-03-29 |
| 1003225491 | Johari Family Services, LLC | Psychiatry & Neurology | 701 Whitfield St, Fayetteville, NC 28306-1617 | 2014-08-11 |
| 1609154509 | Saguaro Group LLC | Psychiatry & Neurology | 2800 Breezewood Drive, Ste 100, Fayetteville, NC 28303-5282 | 2011-07-26 |
| 1699065110 | Jacquelyn Rae Lange-halley | Psychiatry & Neurology | 2580 E Joyce Blvd Ste 1, Fayetteville, AR 72703-3924 | 2011-04-18 |
| 1124343918 | Dorothee S Mecum | Psychiatry & Neurology | 28 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2010-04-05 |
| 1922269018 | Kevin M Lamm | Psychiatry & Neurology | 1724 Roxie Avenue, Fayetteville, NC 28304 | 2008-06-20 |
| 1780871152 | Atul Kantesaria Md Pllc | Psychiatry & Neurology | 105 Hunter Cir, Fayetteville, NC 28304-3407 | 2007-10-01 |
| 1942496005 | James Robert Parks | Psychiatry & Neurology | 102 E Sunbridge Dr, Suite 1, Fayetteville, AR 72703-2830 | 2007-09-21 |
| 1144353699 | Trevor Nagib Iskander | Psychiatry & Neurology | 280 Salt Springs St, Fayetteville, NY 13066-2258 | 2007-03-13 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on VALLEY BEHAVIORAL HEALTH LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.