| The Counseling House, Llc | |
|
911 Emerson Ave Parkersburg WV 26104-2526 | |
| (304) 865-5444 | |
| (304) 865-5445 |
| Full Name | The Counseling House, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 911 Emerson Ave, Parkersburg, West Virginia |
| Authorized Official Name and Position | Patricia Groom (OWNER) |
| Authorized Official Contact | 3048655444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Counseling House, Llc 911 Emerson Ave Parkersburg WV 26104-2526 Ph: (304) 865-5444 | The Counseling House, Llc 911 Emerson Ave Parkersburg WV 26104-2526 Ph: (304) 865-5444 |
| NPI Number | 1104973809 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Medicare PECOS PAC ID | 2567544687 |
|---|---|
| Medicare Enrollment ID | O20080129000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104973809 | NPI | - | NPPES |
| Provider Name | Fred T Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619972767 PECOS PAC ID: 4789588625 Enrollment ID: I20031121000887 |
| Provider Name | Thomas R Foster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356363535 PECOS PAC ID: 7113948928 Enrollment ID: I20170405002582 |
| Provider Name | Brian Hardman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417470824 PECOS PAC ID: 3779858907 Enrollment ID: I20171013001429 |
| Provider Name | Summer E Devol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326701251 PECOS PAC ID: 8820488463 Enrollment ID: I20211214000989 |
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