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CREDENCE BEHAVIORAL HEALTH PLLC NPI 1912692096


NPI Information

NPI: 1912692096
Provider Name: CREDENCE BEHAVIORAL HEALTH PLLC
Classification: Psychiatry & Neurology - 2084B0040X
Entity Type: Organization

Specialization: Behavioral Neurology & Neuropsychiatry

CLIA Number: 49D2285037

Address:
115 WIGGINGTON RD
LYNCHBURG, VA
ZIP 24502
Phone: (434) 253-0212
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CREDENCE BEHAVIORAL HEALTH PLLC is a behavioral neurology and neuropsychiatry psychiatry neurology in Lynchburg, VA. The provider is behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. CREDENCE BEHAVIORAL HEALTH PLLC NPI is 1912692096. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

115 WIGGINGTON RD
LYNCHBURG, VA
ZIP 24502-619
Phone: (434) 253-0212

The provider's authorized official is Sanket Rajaram Dhat .
The authorized official title is Ceo And Founder and has the following contact phone number (217) 381-4633.

The CLIA number assigned to this NPI record is 49D2285037 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2023 and was last updated on 6/3/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084A0401XPsychiatry & NeurologyAddiction MedicineNo
22084B0002XPsychiatry & NeurologyObesity MedicineNo
32084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
42084P0805XPsychiatry & NeurologyGeriatric PsychiatryNo
52084B0040XPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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