| |
200 12th Street Extension Princeton WV 24740-2329 | |
(304) 425-9541 | |
(304) 431-2856 |
Full Name | |
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Speciality | Community/Behavioral Health |
Location | 200 12th Street Extension, Princeton, West Virginia |
Authorized Official Name and Position | Judy L. Akers (CHIEF EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3048182200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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200 12th Street Extension Princeton WV 24740-2329 Ph: (304) 425-9541 | 200 12th Street Extension Princeton WV 24740-2329 Ph: (304) 425-9541 |
NPI Number | 1740234673 |
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Provider Enumeration Date | 05/22/2006 |
Last Update Date | 09/14/2011 |
Medicare PECOS PAC ID | 4486629235 |
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Medicare Enrollment ID | O20040826000703 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740234673 | NPI | - | NPPES |
0005489002 | Medicaid | WV | |
0005489000 | Medicaid | WV | |
0005489001 | Medicaid | WV |
Provider Name | Tammie L Smith |
---|---|
Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1427040526 PECOS PAC ID: 8628061678 Enrollment ID: I20040408000044 |
Provider Name | Nancy D Davidson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982691382 PECOS PAC ID: 8628059250 Enrollment ID: I20040929001273 |
Provider Name | Alina D Vrinceanu-hamm |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1790729028 PECOS PAC ID: 2668578493 Enrollment ID: I20070510000471 |
Provider Name | Rachel J Sowards |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1033296389 PECOS PAC ID: 8921132630 Enrollment ID: I20100817001047 |
Provider Name | Leslie P Chandel |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1528374022 PECOS PAC ID: 6406040419 Enrollment ID: I20101103001358 |
Provider Name | Tracy Legrow |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1154602571 PECOS PAC ID: 3173795259 Enrollment ID: I20111014000106 |
Provider Name | Lea S Morgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992066310 PECOS PAC ID: 6002060852 Enrollment ID: I20130204000378 |
Provider Name | Suzanne Holroyd |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1912032103 PECOS PAC ID: 6709894652 Enrollment ID: I20140325001562 |
Provider Name | Meredith L Bentley |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1396109278 PECOS PAC ID: 8022359561 Enrollment ID: I20190409003233 |
Provider Name | April L White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114574621 PECOS PAC ID: 2365876398 Enrollment ID: I20191230001580 |
Provider Name | Julie Devor Orr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851863096 PECOS PAC ID: 9830437698 Enrollment ID: I20210305000423 |
Provider Name | Tonya R. Jackson-lockett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346918968 PECOS PAC ID: 1355730144 Enrollment ID: I20211117000660 |
Provider Name | Heather Nicole Ellis |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700349198 PECOS PAC ID: 4789070590 Enrollment ID: I20220404002501 |
Provider Name | Jessica Renee Laffrey-steenson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578194023 PECOS PAC ID: 5193112647 Enrollment ID: I20220502000334 |
Provider Name | Brady Kullen |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1508421397 PECOS PAC ID: 3870970395 Enrollment ID: I20220520002478 |
Provider Name | Jessica Bradley |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1245972710 PECOS PAC ID: 2668851320 Enrollment ID: I20220627001469 |
Provider Name | Joseph Luke Newman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1326667163 PECOS PAC ID: 4587087390 Enrollment ID: I20240816003320 |
Provider Name | Brittany Kathleen Casey |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1215413885 PECOS PAC ID: 2062950132 Enrollment ID: I20240820003849 |
Provider Name | Tammy Angle |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1336544436 PECOS PAC ID: 2466884481 Enrollment ID: I20240823000010 |
Provider Name | Heidi Johnson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1326668153 PECOS PAC ID: 1355874256 Enrollment ID: I20241030004608 |
Provider Name | Charles Lee Bowman |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1578049151 PECOS PAC ID: 6002342045 Enrollment ID: I20241213000542 |
Families R Us, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Thorn St Ste A, Princeton, WV 24740 Phone: 304-920-1651 Fax: 888-217-9684 | |
Princeton Psychological Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 321 Rogers St, Princeton, WV 24740 Phone: 304-308-3819 | |
Southern Highlands Community Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 12th Street Ext, Princeton, WV 24740 Phone: 304-425-9541 Fax: 304-487-6199 | |
Rescare Behavior Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 Mercer St, Princeton, WV 24740 Phone: 502-394-2100 | |
Joyful Life Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 816 Harrison St, Princeton, WV 24740 Phone: 304-306-0664 |