CUMBERLAND MOUNTAIN COMMUNITY SERVICES (NPI# 1093882003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093882003 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND MOUNTAIN COMMUNITY SERVICES |
| Other Organization Name | THE LAURELS |
| Practice Address |
102 Kemp Street Lebanon VA 24266 |
| Mailing Address |
Po Box 810 Cedar Bluff VA 24609-0810 |
| Practice Telephone | 2768893063 |
| Practice Fax Number | 2768895005 |
| Mailing Telephone | 2768893063 |
| Mailing Fax Number | 2768895005 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JANE A PEAY (SUBSTANCE ABUSE DIRECTOR) |
| Authorized Official Telephone | 2769646702 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 09301006 | VA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| The Laurels | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235125055 | Cumberland Mountain Community Services | Clinic/Center | 113 Cumberland Rd, Cedar Bluff, VA 24609-1137 | 2005-09-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CUMBERLAND MOUNTAIN COMMUNITY SERVICES | 196 Cumberland Rd, Cedar Bluff, VA 24609-1137 |
| Street Address |
102 KEMP STREET |
| City | LEBANON |
| State | VA |
| Zip Code | 24266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541174 | Nextdoor Drug | Pharmacist | 932 W Main St, Lebanon, VA 24266 | 2020-06-04 |
| 1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
| 1962051763 | Best Life Physical Therapy Inc. | Physical Therapist | 383 Technology Park Drive, Lebanon, VA 24266 | 2019-09-05 |
| 1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
| 1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
| 1457867202 | Elizabeth Altizer Baker | Speech-Language Pathologist | 84 Lorraine C. Turner Dr., Russell County Public Schools, Lebanon, VA 24266 | 2017-12-15 |
| 1851805683 | Laura Hankins Vencill | Speech-Language Pathologist | Russell County Public Schools, 84 Lorraine C. Turner Dr., Lebanon, VA 24266 | 2017-12-01 |
| 1487168670 | Stacy Nichole Davis | Counselor | 78 Rogers St, Lebanon, VA 24266 | 2017-11-27 |
| 1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
| 1659883312 | Sara K Poole | Occupational Therapist | 408 Fields Ave., Lebanon, VA 24266 | 2017-11-02 |
| Find all providers in zip 24266 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
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|---|---|---|---|---|
| 1669000865 | Mid-valley Healthcare, Inc. | Substance Abuse Rehabilitation Facility | 111 N Main St Ste B, Lebanon, OR 97355-2869 | 2020-04-01 |
| 1679052096 | Freya Enterprise LLC | Substance Abuse Rehabilitation Facility | 673 Stubbs Mill Rd, Lebanon, OH 45036-9629 | 2018-08-07 |
| 1003960022 | Southeastern Council On Alcoholism and Drug Dependence Inc | Substance Abuse Rehabilitation Facility | 37 Camp Mooween Road, Lebanon, CT 06249 | 2007-01-23 |
| 1407266828 | Headrest Inc. | Substance Abuse Rehabilitation Facility | 14 Church St, Lebanon, NH 03766 | 2014-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1457976631 | Dunamis Garden Counseling Services | Substance Abuse Rehabilitation Facility | 1576 Oakland Chase Pkwy, Henrico, VA 23231-5736 | 2020-06-12 |
| 1033730619 | Twin Branch Wellness & Recovery LLC | Substance Abuse Rehabilitation Facility | 1471 Davis Mill Rd, Lancaster, VA 22503-2111 | 2020-05-05 |
| 1063052579 | Landmark Recovery of Norfolk LLC | Substance Abuse Rehabilitation Facility | 1516 Harmon St, Norfolk, VA 23518-4056 | 2020-01-13 |
| 1619514957 | Volunteers of America Chesapeake, Inc. | Substance Abuse Rehabilitation Facility | 1554 Columbia Pike, Arlington, VA 22204-4667 | 2019-12-05 |
| 1326699927 | Caron Marc LLC | Substance Abuse Rehabilitation Facility | 4600 Fairfax Dr Ste 906, Arlington, VA 22203-1553 | 2019-09-25 |
| 1184188641 | The Bridge Ministry, Inc. | Substance Abuse Rehabilitation Facility | 3054 Dixie Hill Rd, Buckingham, VA 23921-3017 | 2019-01-29 |
| 1316427214 | Virginia Health Operations LLC | Substance Abuse Rehabilitation Facility | 1318 Kurtz Rd, Mc Lean, VA 22101-4017 | 2018-08-20 |
| 1740766161 | Community Wellness & Support, LLC | Substance Abuse Rehabilitation Facility | 34 Medical Park Blvd Ste A, Petersburg, VA 23805-9283 | 2018-07-18 |
| 1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
| Find all providers with the same taxonomy | ||||
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| 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.