Provider Demographics
NPI:1932992005
Name:ENTELECHY COMPANY LLC
Entity type:Organization
Organization Name:ENTELECHY COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HOVERMALE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:434-320-3388
Mailing Address - Street 1:5668 ADVANCE MILLS RD
Mailing Address - Street 2:
Mailing Address - City:RUCKERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22968-1500
Mailing Address - Country:US
Mailing Address - Phone:434-320-3388
Mailing Address - Fax:
Practice Address - Street 1:5668 ADVANCE MILLS RD
Practice Address - Street 2:
Practice Address - City:RUCKERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22968-1500
Practice Address - Country:US
Practice Address - Phone:434-320-3388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)