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Centra Health Professional Services, LLC — NPI 1235480351, Lynchburg, VA | NPI Central

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NPI 1235480351

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Centra Health Professional Services, LLC

NPI 1235480351 · Child & Adolescent Psychiatry Physician · Lynchburg, VA

Provider details

NPI number: 1235480351
Entity type: Organization
Primary specialty: Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
Parent organization: Centra Health Professional Services, LLC
Organization subpart: Yes
Authorized official: Lewis Addison, Cfo(434) 200-3656

Specialties & taxonomies

Child & Adolescent Psychiatry PhysicianPrimary2084P0804X
Allopathic & Osteopathic Physicians

Practice location

3300 Rivermont Ave

Lynchburg, VA 24503-2030

Phone: (434) 200-5999

Approximate (ZIP-level) locationGet directions

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Mailing address

1204 Fenwick Dr

Lynchburg, VA 24502-2112

Other names (DBA / former)

Doing business as: Child/Adolescent Psych Program

Registry dates

Enumerated: 2012-09-28
Last updated: 2012-09-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.