Mr Matthew Maynard, MA, NCC | |
744 4th Ave Ste 2, Huntington, WV 25701-1541 | |
(304) 691-0873 | |
(304) 955-9057 |
Full Name | Mr Matthew Maynard |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 744 4th Ave Ste 2, Huntington, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750970711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 2570 (West Virginia) | Primary |
Entity Name | Graceway Counseling Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003405978 PECOS PAC ID: 2264894963 Enrollment ID: O20230811002420 |
Mailing Address | Practice Location Address |
---|---|
Mr Matthew Maynard, MA, NCC 33 Walnut Ln, Huntington, WV 25704-9485 Ph: (304) 638-1551 | Mr Matthew Maynard, MA, NCC 744 4th Ave Ste 2, Huntington, WV 25701-1541 Ph: (304) 691-0873 |
Mrs. Caroline Brannock, B.A, BCABA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4614 Waverly Road, Huntington, WV 25704 Phone: 304-429-3287 Fax: 304-429-0024 | |
Jeffrey Scott Bryson, LPC, ALPS, IMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 Madison Ave Ste 200, Wvdoc Parole Services, Huntington, WV 25704 Phone: 304-521-7981 | |
Shawna Susan West, Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 4th Ave, Huntington, WV 25701 Phone: 304-525-5691 Fax: 304-525-5693 | |
Allyson S Hedges, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3375 Us Route 60, Huntington, WV 25705 Phone: 304-525-7851 Fax: 304-525-1073 | |
Mrs. Debra Louanna Jenkins, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 135 4th Ave, Huntington, WV 25701 Phone: 304-525-5690 | |
Sarah E Long, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3375 Us Route 60 E, Huntington, WV 25705 Phone: 304-525-7851 Fax: 304-697-1286 | |
Zachary Michael Sturgill, M.A., BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4614 Waverly Road, Huntington, WV 25704 Phone: 304-429-3287 Fax: 304-429-0024 |