| Loughridge Counseling Services Llc | |
|
701 Main St Barboursville WV 25504-1406 | |
| (304) 733-1833 | |
| (304) 733-4833 |
| Full Name | Loughridge Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 701 Main St, Barboursville, West Virginia |
| Authorized Official Name and Position | Fannie Elaine Loughridge (LICENSED COUNSELOR) |
| Authorized Official Contact | 3047331833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loughridge Counseling Services Llc Po Box 283 Barboursville WV 25504-0283 Ph: (304) 733-1833 | Loughridge Counseling Services Llc 701 Main St Barboursville WV 25504-1406 Ph: (304) 733-1833 |
| NPI Number | 1285761049 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5092152017 |
|---|---|
| Medicare Enrollment ID | O20240326001121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285761049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1699 (West Virginia) | Primary |
| Provider Name | Fannie Elaine Loughridge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831198662 PECOS PAC ID: 3476657941 Enrollment ID: I20240326001276 |
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