| Pyramid Counseling Limited Liability Company | |
|
130 George St # 6 Suite E - F Beckley WV 25801-2648 | |
| (304) 256-0200 | |
| (304) 256-0380 |
| Full Name | Pyramid Counseling Limited Liability Company |
|---|---|
| Speciality | Counselor |
| Location | 130 George St # 6, Beckley, West Virginia |
| Authorized Official Name and Position | Dwayne Frank Masters (COUNSELOR) |
| Authorized Official Contact | 3042560200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pyramid Counseling Limited Liability Company 130 George St # 6 Suite E - F Beckley WV 25801-2648 Ph: (304) 256-0200 | Pyramid Counseling Limited Liability Company 130 George St # 6 Suite E - F Beckley WV 25801-2648 Ph: (304) 256-0200 |
| NPI Number | 1962546622 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 06/04/2024 |
| Certification Date | 06/04/2024 |
| Medicare PECOS PAC ID | 5597784181 |
|---|---|
| Medicare Enrollment ID | O20051114000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962546622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1622 (West Virginia) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Dwayne Masters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316100522 PECOS PAC ID: 9931128527 Enrollment ID: I20240610000369 |
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