| Nurture And Balance | |
|
142 N Queen St Ste 105 Martinsburg WV 25401-3312 | |
| (304) 579-1515 | |
| Not Available |
| Full Name | Nurture And Balance |
|---|---|
| Speciality | Social Worker |
| Location | 142 N Queen St Ste 105, Martinsburg, West Virginia |
| Authorized Official Name and Position | Bianca Stevens (BUSINESS MANAGER) |
| Authorized Official Contact | 3042402698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nurture And Balance 142 N Queen St Ste 105 Martinsburg WV 25401-3312 Ph: (304) 240-2698 | Nurture And Balance 142 N Queen St Ste 105 Martinsburg WV 25401-3312 Ph: (304) 579-1515 |
| NPI Number | 1598279176 |
|---|---|
| Provider Enumeration Date | 11/19/2017 |
| Last Update Date | 11/26/2017 |
| Medicare PECOS PAC ID | 5597024547 |
|---|---|
| Medicare Enrollment ID | O20180119000535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598279176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (West Virginia) | Primary |
| Provider Name | Nicholas Trietsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588082515 PECOS PAC ID: 2668653288 Enrollment ID: I20180119000704 |
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