| Chameleon Health Care Inc | |
|
846 Northside Drive Suite 15 Summersville WV 26651-2028 | |
| (304) 872-8995 | |
| (304) 872-8997 |
| Full Name | Chameleon Health Care Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 846 Northside Drive, Summersville, West Virginia |
| Authorized Official Name and Position | Michael Morrello (PRESIDENT) |
| Authorized Official Contact | 3048728995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chameleon Health Care Inc 846 Northside Drive Suite 15 Summersville WV 26651-2028 Ph: (304) 872-8995 | Chameleon Health Care Inc 846 Northside Drive Suite 15 Summersville WV 26651-2028 Ph: (304) 872-8995 |
| NPI Number | 1134200769 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 12/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134200769 | NPI | - | NPPES |
| 0164780000 | Medicaid | WV | |
| 001715098 | Other | WV | MOUNTAIN STATE BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 683 (West Virginia) | Primary |
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