| Ambassador Ministries, Llc | |
|
400 Pike Street Elkins WV 26241 | |
| (304) 704-7498 | |
| Not Available |
| Full Name | Ambassador Ministries, Llc |
|---|---|
| Speciality | Counselor |
| Location | 400 Pike Street, Elkins, West Virginia |
| Authorized Official Name and Position | Ralph Michael House (OWNER) |
| Authorized Official Contact | 3047047498 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambassador Ministries, Llc 400 Pike Street Elkins WV 26241 Ph: (304) 704-7498 | Ambassador Ministries, Llc 400 Pike Street Elkins WV 26241 Ph: (304) 704-7498 |
| NPI Number | 1508636044 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Medicare PECOS PAC ID | 0941640809 |
|---|---|
| Medicare Enrollment ID | O20240425003829 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508636044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Ralph House |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558977595 PECOS PAC ID: 1850731712 Enrollment ID: I20240425003885 |
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