| Portico Erc, Llc | |
|
1253 Canyon Rd Morgantown WV 26508-9273 | |
| (304) 898-8389 | |
| Not Available |
| Full Name | Portico Erc, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1253 Canyon Rd, Morgantown, West Virginia |
| Authorized Official Name and Position | Elizabeth Rayanne Cichoski (CLINICAL THERAPIST) |
| Authorized Official Contact | 3042887928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portico Erc, Llc 245 Waitman St Morgantown WV 26501-7545 Ph: (304) 288-7928 | Portico Erc, Llc 1253 Canyon Rd Morgantown WV 26508-9273 Ph: (304) 898-8389 |
| NPI Number | 1508594961 |
|---|---|
| Provider Enumeration Date | 08/12/2022 |
| Last Update Date | 08/12/2022 |
| Certification Date | 08/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508594961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Soulmosaic, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Scott Ave Ste 4, Morgantown, WV 26508 Phone: 304-685-8967 | |
West Virginia University Hospitals, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3600 Collins Ferry Rd, Morgantown, WV 26505 Phone: 304-598-6429 | |
Noah Medical Wellness Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1400 Saratoga Ave, Morgantown, WV 26505 Phone: 304-599-1680 | |
Winding Way Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Park Ridge Dr, Morgantown, WV 26508 Phone: 304-692-1131 | |
West Virginia University Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 855-988-2273 | |
Monongalia County Child Advocacy Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 Greenbag Rd, Morgantown, WV 26508 Phone: 304-598-0344 Fax: 304-598-0558 | |
Leah Mcintire, Ma, Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Greenbag Rd, Suite M4, Morgantown, WV 26501 Phone: 304-241-4123 Fax: 304-381-4447 |