| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 125 Morris Ct, Hurricane, West Virginia |
| Authorized Official Name and Position | Melissia Sue Hardin (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3046333573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
125 Morris Ct Hurricane WV 25526-1453 Ph: (681) 233-3550 | 125 Morris Ct Hurricane WV 25526 Ph: (304) 633-3573 |
| NPI Number | 1619466463 |
|---|---|
| Provider Enumeration Date | 05/08/2018 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619466463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1017 (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 |