SOUTHSIDE BEHAVIORAL HEALTH
NPI 1700890761
Community/Behavioral Health in Clarksville, VA

Q: What is Southside Behavioral Health's NPI number?

The NPI number for Southside Behavioral Health is 1700890761. It was assigned to this organization in the NPPES registry on July 27, 2006. The provider was formerly known as Southside Community Services Board.

Q: What is Southside Behavioral Health's specialty?

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

Active since July 27, 2006CLIA Certified · 2 labs

143 INDUSTRIAL PARKWAY, CLARKSVILLE, VA 23927(434) 572-6916(434) 374-3321 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southside Behavioral Health NPPES

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

SOUTHSIDE BEHAVIORAL HEALTH (NPI 1700890761), doing business as Southside Community Services Board, is a healthcare organization registered as a community/behavioral health in Clarksville, Virginia and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Elizabeth C Engelhorn, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1700890761

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSOUTHSIDE BEHAVIORAL HEALTH

Location Address143 INDUSTRIAL PARKWAYClarksville, VA 23927

Mailing AddressPo Box 1478, 143 Industrial ParkwayClarksville, VA 23927 · (434) 572-6916 · Fax (434) 374-3321

Phone(434) 572-6916

Fax(434) 374-3321

Organization SubpartNo

Authorized OfficialElizabeth C EngelhornExecutive Director · (434) 572-6916

Enumeration DateJuly 27, 2006

Last NPPES UpdateMarch 9, 2021

NPPES CertifiedMarch 9, 2021

✔ NPI 1700890761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 090 (VA)

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 090 (VA)

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 090 (VA)

143 INDUSTRIAL PARKWAY, Clarksville, VA 23927

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Other Names 1

Former Legal Business NameSouthside Community Services Board

Secondary Practice Locations 2

Location 12087 Lawrenceville Plank RoadLawrenceville, VA 23868 · Phone (434) 848-4121 · Fax (434) 848-4148

Location 2523 Madison StreetBoydton, VA 23917 · Phone (434) 738-0154 · Fax (434) 738-9545

Other Identifiers 4

Medicaid004945514VA

Medicaid1700890761VA

Medicaid1912252958VA

OtherCC3355VA · Medicare Railroad

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 49D2176824

Southside Behavioral Health · South Boston, VA

Active · expires Dec 25, 2027

CLIA Number49D2176824

Laboratory TypeBehavioral Health Clinic

Certificate Effective DateDecember 26, 2025

Certificate Expiration DateDecember 25, 2027

Laboratory DirectorDarrin Adams

Laboratory Phone(434) 572-6916

Laboratory LocationSouthside Behavioral Health424 Hamilton Blvd, South Boston, VA 24592

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2218179

Southside Behavioral Health-Hope House · La Crosse, VA

Active · expires Mar 25, 2027

CLIA Number49D2218179

Laboratory TypeIntermediate Care Facility For Mentally Retarded

Certificate Effective DateMarch 26, 2025

Certificate Expiration DateMarch 25, 2027

Laboratory DirectorPaul Mandel

Laboratory Phone(434) 572-6916

Laboratory LocationSouthside Behavioral Health-Hope House154 Charlotte Ave, La Crosse, VA 23950

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Southside Behavioral Health's NPI number?

The NPI number for Southside Behavioral Health is 1700890761. It was assigned to this organization in the NPPES registry on July 27, 2006. The provider was formerly known as Southside Community Services Board.

Where is Southside Behavioral Health located?

Southside Behavioral Health is located at 143 Industrial Parkway, Clarksville, VA 23927. The listed phone number is (434) 572-6916.

What is Southside Behavioral Health's specialty?

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

Does Southside Behavioral Health hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Southside Behavioral Health was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.