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3847 Teays Valley Rd Ste B Hurricane WV 25526 | |
| (304) 760-9945 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3847 Teays Valley Rd Ste B, Hurricane, West Virginia |
| Authorized Official Name and Position | Kari Marie Mika-lude (OWNER/CEO) |
| Authorized Official Contact | 7732085022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 172 Culloden WV 25510-0172 Ph: (304) 760-9945 | 3847 Teays Valley Rd Ste B Hurricane WV 25526 Ph: (304) 760-9945 |
| NPI Number | 1164919262 |
|---|---|
| Provider Enumeration Date | 04/16/2018 |
| Last Update Date | 07/28/2020 |
| Certification Date | 07/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164919262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16-323 (West Virginia) | Secondary |
| 101YP2500X | Counselor - Professional | 2276 (West Virginia) | Primary |
Beaconlight Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Highlands Rd, Hurricane, WV 25526 Phone: 304-444-7315 | |
Appalachian Community Disability Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3751 Teays Valley Rd, Suite A, Hurricane, WV 25526 Phone: 304-302-2078 Fax: 304-302-7260 |