| Intensive Trauma Recovery Llc | |
|
1102 About Town Place Morgantown WV 26508 | |
| (800) 755-6105 | |
| (800) 755-6105 |
| Full Name | Intensive Trauma Recovery Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1102 About Town Place, Morgantown, West Virginia |
| Authorized Official Name and Position | Mary Jeanne Carlson (CEO) |
| Authorized Official Contact | 7732302310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intensive Trauma Recovery Llc 364 Patteson Dr # 105 Morgantown WV 26505-3202 Ph: (773) 230-2310 | Intensive Trauma Recovery Llc 1102 About Town Place Morgantown WV 26508 Ph: (800) 755-6105 |
| NPI Number | 1386218048 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 05/18/2021 |
| Certification Date | 04/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386218048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Soulmosaic, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Scott Ave Ste 4, Morgantown, WV 26508 Phone: 304-685-8967 | |
West Virginia University Hospitals, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3600 Collins Ferry Rd, Morgantown, WV 26505 Phone: 304-598-6429 | |
Noah Medical Wellness Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1400 Saratoga Ave, Morgantown, WV 26505 Phone: 304-599-1680 | |
Winding Way Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Park Ridge Dr, Morgantown, WV 26508 Phone: 304-692-1131 | |
West Virginia University Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 855-988-2273 | |
Monongalia County Child Advocacy Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 Greenbag Rd, Morgantown, WV 26508 Phone: 304-598-0344 Fax: 304-598-0558 | |
Leah Mcintire, Ma, Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Greenbag Rd, Suite M4, Morgantown, WV 26501 Phone: 304-241-4123 Fax: 304-381-4447 |