| Millham Psychotherapy Group | |
|
7000 Coombs Farm Rd Ste 202 Morgantown WV 26508-0803 | |
| (304) 435-3494 | |
| Not Available |
| Full Name | Millham Psychotherapy Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 7000 Coombs Farm Rd Ste 202, Morgantown, West Virginia |
| Authorized Official Name and Position | Susan Millham (OWNER) |
| Authorized Official Contact | 3044353494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Millham Psychotherapy Group 7000 Coombs Farm Rd Ste 202 Morgantown WV 26508-0803 Ph: (304) 435-3494 | Millham Psychotherapy Group 7000 Coombs Farm Rd Ste 202 Morgantown WV 26508-0803 Ph: (304) 435-3494 |
| NPI Number | 1639542442 |
|---|---|
| Provider Enumeration Date | 11/03/2015 |
| Last Update Date | 10/13/2022 |
| Certification Date | 10/13/2022 |
| Medicare PECOS PAC ID | 2769784701 |
|---|---|
| Medicare Enrollment ID | O20160107000653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639542442 | NPI | - | NPPES |
| Provider Name | Susan Millham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164899365 PECOS PAC ID: 3678875614 Enrollment ID: I20160107000807 |
| Provider Name | Kristina Michelle Hash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780219782 PECOS PAC ID: 0840611992 Enrollment ID: I20200528001919 |
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