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CLINCH VALLEY TREATMENT CENTER
NPI 1386783314
Clinic/Center - Methadone in Cedar Bluff, VA

Active since February 06, 2007CLIA 49D1002323 · Waiver
111 TOWN HOLLOW RD, CEDAR BLUFF, VA 24609(276) 963-3554(276) 963-4653 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 14, 2023, Jan 30, 2020 (2 updates tracked since 2020).

About Clinch Valley Treatment Center NPPES

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

CLINCH VALLEY TREATMENT CENTER (NPI 1386783314) is a healthcare organization registered as a methadone in Cedar Bluff, Virginia and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 4, 2026 and lists Brian Phillip Farley, Vp & Secretary, as its authorized official.

NPPES Registry Identity

NPI1386783314
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameGALAX TREATMENT CENTER, LLC
Location Address111 TOWN HOLLOW RDCedar Bluff, VA 24609-9622
Mailing Address6183 Paseo Del Norte Ste 200Carlsbad, CA 92011-1151 · (615) 861-6000
Phone(276) 963-3554
Fax(276) 963-4653
Organization SubpartYesParent: Acadia Healthcare
Authorized OfficialBrian Phillip FarleyVp & Secretary · (615) 861-6000
Enumeration DateFebruary 6, 2007
Last NPPES UpdateAugust 14, 20232 updates tracked since enumeration
NPPES CertifiedAugust 14, 2023
✔ NPI 1386783314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License✔ Licensed in VA · 617-06-001
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
111 TOWN HOLLOW RD, Cedar Bluff, VA 24609
Open in Google Maps ↗

Other Names 1

Doing Business AsClinch Valley Treatment Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D1002323

Galax Treatment Center, LLC Bda Clinch Valley Treatment Center · Cedar Bluff, VA
Active · expires Aug 4, 2026
CLIA Number49D1002323
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateAugust 5, 2024
Certificate Expiration DateAugust 4, 2026
Laboratory DirectorMehdi Pourmorteza
Laboratory Phone(276) 963-3554
Laboratory LocationGalax Treatment Center, LLC Bda Clinch Valley Treatment Center111 Town Hollow Road, Cedar Bluff, VA 24609
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
976 services42 patients
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078
This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.
598 services28 patients
Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) G2074
Medication Assisted Treatment is a comprehensive program for managing substance use. It includes counseling (both individual and group), along with regular toxicology testing if required. This service is provided by a Medicare-enrolled opioid treatment program.
113 services25 patients
Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for G2077
Periodic assessment is a routine check-up by trained professionals to determine the best mix of services and treatments for your health needs. This is typically provided by a Medicare-enrolled opioid treatment program. It's listed separately in addition to your main treatment code. This ensures you receive the most suitable care for your situation.
30 services29 patients

Other Providers at the Same Location NPPES 20

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

MRS. KAREN YVONNE WALDRON BA
Counselor (Addiction (Substance Use Disorder))
111 TOWN HOLLOW RD
CEDAR BLUFF, VA 24609
Russell County (276) 963-3554
MATT SMITH
Counselor (Addiction (Substance Use Disorder))
111 TOWN HOLLOW RD
CEDAR BLUFF, VA 24609
Russell County (276) 963-3554
PATTI DIANE WHITE LPC, LSATP, CSAC
Counselor (Professional)
111 TOWN HOLLOW RD
CEDAR BLUFF, VA 24609
Russell County (276) 963-3554
SEDRIK SAULS
Counselor (Addiction (Substance Use Disorder))
111 TOWN HOLLOW RD
CEDAR BLUFF, VA 24609
Russell County (276) 284-2601
MRS. TAMMY DARLENE WHITED BS
Counselor (Addiction (Substance Use Disorder))
111 TOWN HOLLOW RD
CEDAR BLUFF, VA 24609
Russell County (276) 991-2542
CLINCH VALLEY TREATMENT CENTER
Health Maintenance Organization
111 TOWN HOLLOW RD, CEDAR BLUFF
CEDAR BLUFF, VA 24609
Russell County (276) 963-3554
MR. BENJAMIN TYLER BRANDON GOFF RN
Registered Nurse
111 TOWN HOLLOW RD
CEDAR BLUFF, VA 24609
Russell County (276) 963-3554
JONATHON KINDER BA
Counselor (Addiction (Substance Use Disorder))
111 TOWN HOLLOW RD
CEDAR BLUFF, VA 24609
Russell County (276) 963-3554

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 Galax Treatment Center, LLC's NPI number?

The NPI number for Galax Treatment Center, LLC is 1386783314. It was assigned to this organization in the NPPES registry on February 6, 2007. The provider is doing business as Clinch Valley Treatment Center.

Where is Galax Treatment Center, LLC located?

Galax Treatment Center, LLC is located at 111 Town Hollow Rd, Cedar Bluff, VA 24609. The listed phone number is (276) 963-3554.

What is Galax Treatment Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Galax Treatment Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1002323) is associated with this NPI, valid through August 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Galax Treatment Center, LLC was last updated on August 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.