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1415 6th Ave Huntington WV 25701-2420 | |
(304) 523-1142 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1415 6th Ave, Huntington, West Virginia |
Authorized Official Name and Position | Rachel Blankenship (OFFICE MANAGER) |
Authorized Official Contact | 6814642001 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1415 6th Ave Huntington WV 25701-2420 Ph: () - | 1415 6th Ave Huntington WV 25701-2420 Ph: (304) 523-1142 |
NPI Number | 1063124261 |
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Provider Enumeration Date | 12/19/2022 |
Last Update Date | 03/18/2024 |
Certification Date | 03/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063124261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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