| Potomac Highlands Guild | |
|
7 Mountain View St Petersburg WV 26847-1796 | |
| (304) 257-1555 | |
| (304) 257-1945 |
| Full Name | Potomac Highlands Guild |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7 Mountain View St, Petersburg, West Virginia |
| Authorized Official Name and Position | Carol D Hendrix (A/R OFFICER) |
| Authorized Official Contact | 3042571155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Highlands Guild 7 Mountain View St Petersburg WV 26847-1796 Ph: (130) 425-7115 | Potomac Highlands Guild 7 Mountain View St Petersburg WV 26847-1796 Ph: (304) 257-1555 |
| NPI Number | 1205165347 |
|---|---|
| Provider Enumeration Date | 12/21/2009 |
| Last Update Date | 08/03/2022 |
| Certification Date | 06/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205165347 | NPI | - | NPPES |
| 0005473000 | Medicaid | WV | |
| 0005473002 | Medicaid | WV | |
| 0005473001 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1036-8848 (West Virginia) | Primary |
Potomac Highlands Mental Health Guild, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Mountain View St, Petersburg, WV 26847 Phone: 304-257-1155 Fax: 304-257-1945 | |
Commission On Aging Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Virginia Ave, Petersburg, WV 26847 Phone: 304-257-1666 Fax: 304-257-9145 | |
Potomac Highlands Guild Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Park St, Petersburg, WV 26847 Phone: 304-257-1155 Fax: 304-257-1945 | |
Cristina L. Goldizen Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Valley View St Ste 203, Petersburg, WV 26847 Phone: 304-257-4128 Fax: 304-257-4673 | |
Potomac Highlands Mental Health Guild Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Park St, Petersburg, WV 26847 Phone: 304-257-1155 | |
Potomac Highlands Guild Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Park St, Petersburg, WV 26847 Phone: 304-257-1155 Fax: 304-257-1945 |