| The Healing House, Inc | |
|
503 Grant St Charleston WV 25302-1951 | |
| (681) 205-8661 | |
| Not Available |
| Full Name | The Healing House, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 503 Grant St, Charleston, West Virginia |
| Authorized Official Name and Position | Nakia Austin (CEO) |
| Authorized Official Contact | 2168327533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Healing House, Inc Po Box 782 Saint Albans WV 25177-0782 Ph: (681) 205-8661 | The Healing House, Inc 503 Grant St Charleston WV 25302-1951 Ph: (681) 205-8661 |
| NPI Number | 1093417859 |
|---|---|
| Provider Enumeration Date | 03/17/2023 |
| Last Update Date | 03/17/2023 |
| Certification Date | 03/17/2023 |
| Medicare PECOS PAC ID | 8426407669 |
|---|---|
| Medicare Enrollment ID | O20231213000394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093417859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Michelle Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285101758 PECOS PAC ID: 7315396553 Enrollment ID: I20231213000457 |
| Provider Name | Nakia Austin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306677810 PECOS PAC ID: 3971952110 Enrollment ID: I20241108002454 |
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