Provider Demographics
NPI:1437352945
Name:BEHAVIORAL HEALTH ASSOCIATES, INC.
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH ASSOCIATES, INC.
Other - Org Name:BEHAVIORAL HEALTH ASSOCIATES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:434-575-8255
Mailing Address - Street 1:2082 OLD GRUBBY RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH BOSTON
Mailing Address - State:VA
Mailing Address - Zip Code:24592-6136
Mailing Address - Country:US
Mailing Address - Phone:434-575-8255
Mailing Address - Fax:434-572-1616
Practice Address - Street 1:515 YANCEY AVE
Practice Address - Street 2:
Practice Address - City:SOUTH BOSTON
Practice Address - State:VA
Practice Address - Zip Code:24592
Practice Address - Country:US
Practice Address - Phone:434-575-8255
Practice Address - Fax:434-572-1616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA260642000OtherMAGELLAN
VA237752OtherVALUE OPTIONS
VA087374OtherOPTIMA SENTARA
VA326561OtherANTHEM
VA98581393OtherUNITED BEHAVIORAL HEALTH
VA008917531Medicaid
VA326561OtherANTHEM HEALTHKEEPERS PLUE
VA165713000OtherMAGELLAN
VA98581393OtherUNITED HEALTHCARE
VA326561OtherANTHEM