Tristate Psychotherapy Llc | |
142 N Queen St Ste 212 Martinsburg WV 25401-3312 | |
(304) 268-6591 | |
Not Available |
Full Name | Tristate Psychotherapy Llc |
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Speciality | Counselor |
Location | 142 N Queen St Ste 212, Martinsburg, West Virginia |
Authorized Official Name and Position | Ana Finney (OWNER/LICSW) |
Authorized Official Contact | 3042686591 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tristate Psychotherapy Llc 142 N Queen St Ste 212 Martinsburg WV 25401-3312 Ph: (304) 268-6591 | Tristate Psychotherapy Llc 142 N Queen St Ste 212 Martinsburg WV 25401-3312 Ph: (304) 268-6591 |
NPI Number | 1033672043 |
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Provider Enumeration Date | 04/08/2019 |
Last Update Date | 04/08/2019 |
Medicare PECOS PAC ID | 3476972571 |
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Medicare Enrollment ID | O20200923000517 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033672043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Ana Finney |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164887840 PECOS PAC ID: 4385063486 Enrollment ID: I20200923000617 |
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