Blue Mountain Therapy, LLC
Early Intervention Provider Agency in Abingdon, VA. Organization (NPI-2).
NPI number1760818595
StatusActive
Last updated in NPPESJun 16, 2022
Details
- NPI
- 1760818595
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Mountain Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Sep 25, 2013
- Certification date
- Jun 16, 2022
- Last updated
- Jun 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
| 104100000X | Social Worker | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – | |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – |
Practice location
17507 Lee HwyAbingdon, VA 24210-7835
Phone 276-525-6043 · Fax 888-233-7885
Mailing address
17507 Lee HwyAbingdon, VA 24210-7835
Phone 276-525-6043 · Fax 888-233-7885
Other practice locations
440 Park Ave Nw
Norton, VA 24273-2114
Norton, VA 24273-2114
Phone 276-525-6043 · Fax 888-233-7885
800 E Main St Ste 200
Wytheville, VA 24382-3322
Wytheville, VA 24382-3322
Phone 276-335-2217
27018 Lee Hwy
Abingdon, VA 24211
Abingdon, VA 24211
Phone 276-525-4460 · Fax 888-233-7885
686 Hwy 58 E
Norton, VA 24273
Norton, VA 24273
Phone 276-525-6043 · Fax 888-233-7885
Authorized official
Joseph Clint Waddell
Administration
2765256043
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Early Intervention Provider Agency providers in Abingdon, VA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.