Passages Therapy And Counseling, Pllc | |
200 Weese St Elkins WV 26241-3758 | |
(304) 704-3885 | |
Not Available |
Full Name | Passages Therapy And Counseling, Pllc |
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Speciality | Social Worker |
Location | 200 Weese St, Elkins, West Virginia |
Authorized Official Name and Position | Marlena Chestnut (OWNER/ PSYCHOTHERAPIST) |
Authorized Official Contact | 3047043885 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Passages Therapy And Counseling, Pllc Po Box 290 Harman WV 26270-0290 Ph: (304) 704-3885 | Passages Therapy And Counseling, Pllc 200 Weese St Elkins WV 26241-3758 Ph: (304) 704-3885 |
NPI Number | 1093314825 |
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Provider Enumeration Date | 10/22/2020 |
Last Update Date | 11/05/2020 |
Certification Date | 11/05/2020 |
Medicare PECOS PAC ID | 7214348697 |
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Medicare Enrollment ID | O20201117000815 |
Identifier | Type | State | Issuer |
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1093314825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Provider Name | Marlena Nicole Chestnut |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073811394 PECOS PAC ID: 2567873946 Enrollment ID: I20201117000956 |
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