Provider Demographics
NPI:1003099938
Name:WINCHESTER ADDICTION SERVICES PLC
Entity type:Organization
Organization Name:WINCHESTER ADDICTION SERVICES PLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:LINDSEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CSAC
Authorized Official - Phone:540-450-2206
Mailing Address - Street 1:3042 VALLEY AVE. SUITE 110
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2755
Mailing Address - Country:US
Mailing Address - Phone:540-450-2206
Mailing Address - Fax:540-450-1546
Practice Address - Street 1:3042 VALLEY AVE. SUITE 110
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2755
Practice Address - Country:US
Practice Address - Phone:540-450-2206
Practice Address - Fax:540-450-1546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-13
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM1300X
VA0101044170261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty