| Southern Highlands Community Mental Health Center | |
|
200 12th Street Extension Princeton WV 24740-2329 | |
| (304) 425-9541 | |
| (304) 431-2856 |
| Full Name | Southern Highlands Community Mental Health Center |
|---|---|
| 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 |
|---|---|
| Southern Highlands Community Mental Health Center 200 12th Street Extension Princeton WV 24740-2329 Ph: (304) 425-9541 | Southern Highlands Community Mental Health Center 200 12th Street Extension Princeton WV 24740-2329 Ph: (304) 425-9541 |
| NPI Number | 1740234673 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 09/14/2011 |
| Medicare PECOS PAC ID | 4486629235 |
|---|---|
| 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 | 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 | Jessica Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245972710 PECOS PAC ID: 2668851320 Enrollment ID: I20220627001469 |
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 | |
Pch Behavioral Medicine Unit Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 12th Street Ext, Princeton, WV 24740 Phone: 304-487-7000 Fax: 304-487-7370 | |
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 | |
Cardinal Counseling And Forensic Services Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 222 Center St, Princeton, WV 24740 Phone: 304-952-4356 | |
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 |