Provider Demographics
NPI:1518450022
Name:ROWLLINS MENTAL HEALTH AND WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:ROWLLINS MENTAL HEALTH AND WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ROWSEY-COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:276-293-1244
Mailing Address - Street 1:705 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FRIES
Mailing Address - State:VA
Mailing Address - Zip Code:24330-4474
Mailing Address - Country:US
Mailing Address - Phone:540-739-9195
Mailing Address - Fax:
Practice Address - Street 1:16688 HIGHLANDS PKWY
Practice Address - Street 2:
Practice Address - City:WHITETOP
Practice Address - State:VA
Practice Address - Zip Code:24292-2652
Practice Address - Country:US
Practice Address - Phone:276-293-1244
Practice Address - Fax:540-380-8271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-08
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty