| Mountain State Counseling Services, Llc | |
|
1802 Harper Rd Ste 200 Beckley WV 25801-3376 | |
| (304) 252-9211 | |
| Not Available |
| Full Name | Mountain State Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1802 Harper Rd Ste 200, Beckley, West Virginia |
| Authorized Official Name and Position | Christy Spade (CEO) |
| Authorized Official Contact | 3042529211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain State Counseling Services, Llc 1802 Harper Rd Ste 200 Beckley WV 25801-3376 Ph: (681) 238-5733 | Mountain State Counseling Services, Llc 1802 Harper Rd Ste 200 Beckley WV 25801-3376 Ph: (304) 252-9211 |
| NPI Number | 1598397630 |
|---|---|
| Provider Enumeration Date | 02/06/2020 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/22/2022 |
| Medicare PECOS PAC ID | 5294141198 |
|---|---|
| Medicare Enrollment ID | O20210301001241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598397630 | NPI | - | NPPES |
| Provider Name | Michael Allen Beswick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164776589 PECOS PAC ID: 6406265719 Enrollment ID: I20210517001570 |
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