| Counseling And Wellness Center Llc | |
|
936 Market St Parkersburg WV 26101-4737 | |
| (304) 422-7300 | |
| (304) 428-3719 |
| Full Name | Counseling And Wellness Center Llc |
|---|---|
| Speciality | Psychologist |
| Location | 936 Market St, Parkersburg, West Virginia |
| Authorized Official Name and Position | Osric Malone Prioleau (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3044227300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Wellness Center Llc 936 Market St Parkersburg WV 26101-4737 Ph: (304) 422-7300 | Counseling And Wellness Center Llc 936 Market St Parkersburg WV 26101-4737 Ph: (304) 422-7300 |
| NPI Number | 1184069668 |
|---|---|
| Provider Enumeration Date | 05/09/2013 |
| Last Update Date | 05/09/2013 |
| Medicare PECOS PAC ID | 5395983126 |
|---|---|
| Medicare Enrollment ID | O20130605000870 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184069668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 78679 (West Virginia) | Primary |
| Provider Name | Priscilla F Leavitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790741577 PECOS PAC ID: 7416921283 Enrollment ID: I20050310001050 |
| Provider Name | Joanne F Vrabel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528024247 PECOS PAC ID: 7012954936 Enrollment ID: I20051104000387 |
| Provider Name | Cherrie L Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245325182 PECOS PAC ID: 6901920651 Enrollment ID: I20100901000482 |
| Provider Name | Cindy Dugan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861525149 PECOS PAC ID: 4284887035 Enrollment ID: I20130104000137 |
| Provider Name | Marina C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841637337 PECOS PAC ID: 8123260585 Enrollment ID: I20130814000483 |
| Provider Name | Charlene Jane Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760888911 PECOS PAC ID: 5092039693 Enrollment ID: I20150129002181 |
| Provider Name | Kari Lynn Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891271805 PECOS PAC ID: 1850642661 Enrollment ID: I20180918002216 |
| Provider Name | Ashley E Gentner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912451287 PECOS PAC ID: 2668733114 Enrollment ID: I20181126003656 |
| Provider Name | Spencer J Kissel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013499029 PECOS PAC ID: 4880948140 Enrollment ID: I20181126003943 |
| Provider Name | Savannah N Halverson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740743137 PECOS PAC ID: 1658790076 Enrollment ID: I20201002001995 |
| Provider Name | Jamarcus A Hershberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457932329 PECOS PAC ID: 8022497478 Enrollment ID: I20230613000410 |
| Provider Name | Leann Bates |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386685790 PECOS PAC ID: 6305296161 Enrollment ID: I20231220002350 |
| Provider Name | Gregory Syner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124164744 PECOS PAC ID: 8426401142 Enrollment ID: I20240130001252 |
| Provider Name | Mollie Haught |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629199393 PECOS PAC ID: 3072966548 Enrollment ID: I20240131003573 |
| Provider Name | Michael L Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275601502 PECOS PAC ID: 6507229481 Enrollment ID: I20240426001156 |
| Provider Name | Michael Kodrich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134131329 PECOS PAC ID: 5890789960 Enrollment ID: I20240426003198 |
| Provider Name | Autumn M Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316619554 PECOS PAC ID: 0143661595 Enrollment ID: I20240516000131 |
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