Fresh Perspective Psychotherapy, Llc | |
2917 Dogtown Rd Reedsville WV 26547-7056 | |
(304) 841-2259 | |
Not Available |
Full Name | Fresh Perspective Psychotherapy, Llc |
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Speciality | Social Worker |
Location | 2917 Dogtown Rd, Reedsville, West Virginia |
Authorized Official Name and Position | Sheena Nicholson (OWNER/PSYCHOTHERAPIST) |
Authorized Official Contact | 3049002002 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fresh Perspective Psychotherapy, Llc 2917 Dogtown Rd Reedsville WV 26547-7056 Ph: (304) 900-2002 | Fresh Perspective Psychotherapy, Llc 2917 Dogtown Rd Reedsville WV 26547-7056 Ph: (304) 841-2259 |
NPI Number | 1134641889 |
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Provider Enumeration Date | 07/14/2017 |
Last Update Date | 03/14/2022 |
Certification Date | 03/14/2022 |
Medicare PECOS PAC ID | 1153694484 |
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Medicare Enrollment ID | O20170907001472 |
Identifier | Type | State | Issuer |
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1134641889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | DP00943676 (West Virginia) | Primary |
Provider Name | Sheena Nicholson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609170745 PECOS PAC ID: 2062785397 Enrollment ID: I20170907001546 |
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