| New Hope Telehealth Corporation | |
|
362 E 4th St Williamstown WV 26187-7947 | |
| (304) 991-8399 | |
| (304) 200-2057 |
| Full Name | New Hope Telehealth Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 362 E 4th St, Williamstown, West Virginia |
| Authorized Official Name and Position | Valerie Keller (OWNER) |
| Authorized Official Contact | 3044813894 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Hope Telehealth Corporation Po Box 14 Williamstown WV 26187-0014 Ph: (304) 481-3894 | New Hope Telehealth Corporation 362 E 4th St Williamstown WV 26187-7947 Ph: (304) 991-8399 |
| NPI Number | 1730854407 |
|---|---|
| Provider Enumeration Date | 08/13/2021 |
| Last Update Date | 08/13/2021 |
| Certification Date | 08/13/2021 |
| Medicare PECOS PAC ID | 9133509730 |
|---|---|
| Medicare Enrollment ID | O20220629000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730854407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lya J Burgess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326209644 PECOS PAC ID: 6709952419 Enrollment ID: I20080904000000 |
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