Provider Demographics
NPI:1902949373
Name:HALL COMMUNITY SERVICES INC
Entity type:Organization
Organization Name:HALL COMMUNITY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE&ADMINSTRATION
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA (CINDY)
Authorized Official - Middle Name:J
Authorized Official - Last Name:GRAVELY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-344-6411
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:540-344-6411
Mailing Address - Fax:540-344-2007
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:540-344-6411
Practice Address - Fax:540-344-2007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA941101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty