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DOMINION HEALTH MEDICAL ASSOCIATES LTD
NPI 1215411483
Community/Behavioral Health in South Boston, VA

Active since September 24, 2018
504 WILBORN AVE, SOUTH BOSTON, VA 24592(434) 517-3400 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dominion Health Medical Associates Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINION HEALTH MEDICAL ASSOCIATES LTD (NPI 1215411483), doing business as Sentara Behavioral Health Specialists, is a healthcare organization registered as a community/behavioral health in South Boston, Virginia and active in the NPI registry since September 2018. The organization lists Cecil Hazelwood, Manager/dhg, as its authorized official.

NPPES Registry Identity

NPI1215411483
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameDOMINION HEALTH MEDICAL ASSOCIATES LTD
Location Address504 WILBORN AVESouth Boston, VA 24592-3120
Mailing AddressPo Box 860South Boston, VA 24592-0860
Phone(434) 517-3400
Organization SubpartNo
Authorized OfficialCecil HazelwoodManager/dhg · (434) 517-3515
Enumeration DateSeptember 24, 2018
✔ NPI 1215411483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
504 WILBORN AVE, South Boston, VA 24592
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Other Names 1

Doing Business AsSentara Behavioral Health Specialists

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS RITA KAY LYNCH LPC
Counselor (Professional)
504 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3654
MR. JACOB HUDSON LPC
Counselor (Professional)
504 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3653
MATTHEW OWEN
Counselor
504 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3020
MR. NORMAN SCOTT SPENCER
Counselor (Professional)
504 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3651
MR. RICHARD W CASTLE LPC
Counselor
504 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 572-6935
MRS. LAURA I CASTLE LPC CSAC
Counselor (Addiction (Substance Use Disorder))
504 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 572-6935
CATHERINE CHANEY LPC
Counselor (Professional)
504 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3655
MRS. EMILY M NOBLIN LPC
Counselor (Professional)
504 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 572-6935

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominion Health Medical Associates Ltd's NPI number?

The NPI number for Dominion Health Medical Associates Ltd is 1215411483. It was assigned to this organization in the NPPES registry on September 24, 2018. The provider is doing business as Sentara Behavioral Health Specialists.

Where is Dominion Health Medical Associates Ltd located?

Dominion Health Medical Associates Ltd is located at 504 Wilborn Ave, South Boston, VA 24592. The listed phone number is (434) 517-3400.

What is Dominion Health Medical Associates Ltd's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Dominion Health Medical Associates Ltd was last updated on September 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.