Total Life Clinicians | |
168 Church Street Clay WV 25043 | |
(304) 924-9081 | |
Not Available |
Full Name | Total Life Clinicians |
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Speciality | Community/behavioral Health |
Location | 168 Church Street, Clay, West Virginia |
Authorized Official Name and Position | Greenbrier Almond (OWNER) |
Authorized Official Contact | 3049249081 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Total Life Clinicians Po Box 129 Buckhannon WV 26201-0129 Ph: (304) 473-8988 | Total Life Clinicians 168 Church Street Clay WV 25043 Ph: (304) 924-9081 |
NPI Number | 1801914536 |
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Provider Enumeration Date | 03/27/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801914536 | NPI | - | NPPES |
3810005285 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 10136 (West Virginia) | Primary |
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