| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 110 Main St, Beckley, West Virginia |
| Authorized Official Name and Position | Desiree Hughes (OWNER/PROVIDER) |
| Authorized Official Contact | 3047127374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 821 Oak Hill WV 25901-0821 Ph: (304) 712-7374 | 110 Main St Beckley WV 25801-4611 Ph: (304) 553-0756 |
| NPI Number | 1548976665 |
|---|---|
| Provider Enumeration Date | 01/24/2023 |
| Last Update Date | 04/18/2023 |
| Certification Date | 04/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548976665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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