Mrs Colleen Marie Caldwell-mccomas, LPCC | |
71 Wayne St, Fort Gay, WV 25514-8518 | |
(304) 648-5544 | |
(304) 648-5989 |
Full Name | Mrs Colleen Marie Caldwell-mccomas |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 71 Wayne St, Fort Gay, 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 |
---|---|---|---|
1609201342 | NPI | - | NPPES |
7100266790 | Medicaid | KY | |
0214647 | Medicaid | OH | |
1609201342 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 103071 (Kentucky) | Secondary |
101YP2500X | Counselor - Professional | 2220 (West Virginia) | Primary |
Entity Name | Valley Health Systems, Inc |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
Entity Identifiers | NPI Number: 1902962368 PECOS PAC ID: 9931017969 Enrollment ID: O20040325000411 |
Mailing Address | Practice Location Address |
---|---|
Mrs Colleen Marie Caldwell-mccomas, LPCC Po Box 1680, Huntington, WV 25717-1680 Ph: (304) 697-1396 | Mrs Colleen Marie Caldwell-mccomas, LPCC 71 Wayne St, Fort Gay, WV 25514-8518 Ph: (304) 648-5544 |
Laraya Dingess, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 20824 Route 52, Fort Gay, WV 25514 Phone: 304-648-7100 | |
Donna Hardy, LPC Counselor Medicare: Medicare Enrolled Practice Location: 10 Sammons Ln, Fort Gay, WV 25514 Phone: 304-648-7100 Fax: 304-648-7160 | |
Mr. Danny Ernest Jude Jr., LICSW Counselor Medicare: Medicare Enrolled Practice Location: 20824 Route 52, Fort Gay, WV 25514 Phone: 304-648-7100 Fax: 304-648-7160 | |
Harriet Clementine Gibson, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 20824 Route 52, Fort Gay, WV 25514 Phone: 304-648-7100 |