Lex De Gruyl, COUNSELOR PSYCHOLO is a
Counselor - School based in Little Birch, West Virginia. Lex De Gruyl is licensed to practice in West Virginia (license number 1124) and his current practice location is
240 Windy Run Rd, Little Birch, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 765-5919.
NPI number for Lex De Gruyl is 1912067067 and his current mailing address is 240 Windy Run Rd, Little Birch, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912067067.
Healthcare Provider's Profile
Full Name | Lex De Gruyl |
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Gender | Male |
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Speciality | Counselor - School |
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Location | 240 Windy Run Rd, Little Birch, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912067067
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Lex De Gruyl such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912067067 | NPI | - | NPPES |
0164362000 | Medicaid | WV | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 21003 (West Virginia) | Primary |
101YS0200X | Counselor - School | 1124 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lex De Gruyl is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lex De Gruyl, COUNSELOR PSYCHOLO 240 Windy Run Rd, Little Birch, WV 26629-9502 Ph: (304) 765-5919 | Lex De Gruyl, COUNSELOR PSYCHOLO 240 Windy Run Rd, Little Birch, WV 26629-9502 Ph: (304) 765-5919 |
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