| Park Valley Behavioral Health Care, Pllc | |
|
32 20th St Ste 500 Wheeling WV 26003-3747 | |
| (304) 218-2023 | |
| (304) 218-2026 |
| Full Name | Park Valley Behavioral Health Care, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 32 20th St Ste 500, Wheeling, West Virginia |
| Authorized Official Name and Position | Alfredo A Aguirre (OWNER) |
| Authorized Official Contact | 3042182023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Valley Behavioral Health Care, Pllc 32 20th St Ste 500 Wheeling WV 26003-3747 Ph: (304) 218-2023 | Park Valley Behavioral Health Care, Pllc 32 20th St Ste 500 Wheeling WV 26003-3747 Ph: (304) 218-2023 |
| NPI Number | 1457357261 |
|---|---|
| Provider Enumeration Date | 06/27/2005 |
| Last Update Date | 03/23/2021 |
| Certification Date | 03/23/2021 |
| Medicare PECOS PAC ID | 3274657895 |
|---|---|
| Medicare Enrollment ID | O20100902000561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457357261 | NPI | - | NPPES |
| 0204413000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 16918 (West Virginia) | Primary |
| Provider Name | Alfredo Aguirre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841296654 PECOS PAC ID: 4183748700 Enrollment ID: I20100902000570 |
| Provider Name | Orlando J Sacco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104983725 PECOS PAC ID: 8527184969 Enrollment ID: I20100923000466 |
| Provider Name | Julie Cerra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285881342 PECOS PAC ID: 2769783851 Enrollment ID: I20190903003203 |
| Provider Name | Rhonda Senakievich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447575030 PECOS PAC ID: 4587071907 Enrollment ID: I20210401000648 |
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