| Coalfield Family Services, Pllc | |
|
20824 Route 52 Fort Gay WV 25514-7074 | |
| (304) 648-7100 | |
| Not Available |
| Full Name | Coalfield Family Services, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 20824 Route 52, Fort Gay, West Virginia |
| Authorized Official Name and Position | Danny Ernest Jude (OWNER) |
| Authorized Official Contact | 3046487100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coalfield Family Services, Pllc 20824 Route 52 Fort Gay WV 25514-7074 Ph: (304) 648-7100 | Coalfield Family Services, Pllc 20824 Route 52 Fort Gay WV 25514-7074 Ph: (304) 648-7100 |
| NPI Number | 1508540303 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 06/12/2023 |
| Certification Date | 06/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508540303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Valley Health Fort Gay Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 71 Wayne St, Fort Gay, WV 25514 Phone: 304-648-5544 Fax: 304-648-5989 | |
Coalfield Family Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 20824 Route 52, Fort Gay, WV 25514 Phone: 304-648-7100 Fax: 304-648-7160 |