| Mari Sullivan Walker Inc | |
|
Rt#10 Main Street Pineville WV 24874-0123 | |
| (304) 732-9132 | |
| (304) 732-6589 |
| Full Name | Mari Sullivan Walker Inc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | Rt#10 Main Street, Pineville, West Virginia |
| Authorized Official Name and Position | Mari Sullivan Walker (CEO) |
| Authorized Official Contact | 3047329132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mari Sullivan Walker Inc Rt#10 Main Street P.o. Box 123 Pineville WV 24874-0123 Ph: (304) 732-9132 | Mari Sullivan Walker Inc Rt#10 Main Street Pineville WV 24874-0123 Ph: (304) 732-9132 |
| NPI Number | 1619073343 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619073343 | NPI | - | NPPES |
| LICENSE # 203 | Other | WV | PSYCHOLOGIST LICENSE |
| 0165341000 | Medicaid | WV |
Lantern Mental Health Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 438 R 10, Pineville, WV 24874 Phone: 304-732-0071 Fax: 304-732-0070 |