Provider Demographics
NPI:1407926686
Name:MENTAL HEALTH ASSOCIATES INC
Entity Type:Organization
Organization Name:MENTAL HEALTH ASSOCIATES INC
Other - Org Name:COMPREHENSIVE COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JINGER
Authorized Official - Middle Name:D
Authorized Official - Last Name:SNAPP-LAPLACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-343-0004
Mailing Address - Street 1:1115 1ST ST SW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24016-4701
Mailing Address - Country:US
Mailing Address - Phone:540-343-0004
Mailing Address - Fax:540-343-1576
Practice Address - Street 1:1115 1ST ST SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-4701
Practice Address - Country:US
Practice Address - Phone:540-343-0004
Practice Address - Fax:540-343-1576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA033673OtherANTHEM
VA14223OtherUNITED HEALTHCARE
VA5873740OtherAETNA
VA5873740OtherAETNA