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301 Scott Ave Morgantown WV 26508-8804 | |
| (304) 296-1731 | |
| (304) 225-2288 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 301 Scott Ave, Morgantown, West Virginia |
| Authorized Official Name and Position | Cheryl L Perone (CEO) |
| Authorized Official Contact | 3042961731 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
301 Scott Ave Morgantown WV 26508-8804 Ph: (304) 296-1731 | 301 Scott Ave Morgantown WV 26508-8804 Ph: (304) 296-1731 |
| NPI Number | 1861476350 |
|---|---|
| Provider Enumeration Date | 11/30/2005 |
| Last Update Date | 04/11/2014 |
| Medicare PECOS PAC ID | 8820902885 |
|---|---|
| Medicare Enrollment ID | O20040114000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861476350 | NPI | - | NPPES |
| 3810012355 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 21 (West Virginia) | Primary |
| Provider Name | Bruce A Gorby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659319457 PECOS PAC ID: 8426027715 Enrollment ID: I20041004000099 |
| Provider Name | Deanne Dyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124265905 PECOS PAC ID: 2264599042 Enrollment ID: I20090323000246 |
| Provider Name | Dennis J Kojsza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922110907 PECOS PAC ID: 8426215112 Enrollment ID: I20120208000469 |
| Provider Name | Brian H Sharp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033162136 PECOS PAC ID: 0143458760 Enrollment ID: I20140106000354 |
| Provider Name | Brooke M Poole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629406178 PECOS PAC ID: 9436415171 Enrollment ID: I20171113001258 |
| Provider Name | Daisy L Culverhouse-perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740759299 PECOS PAC ID: 8224371935 Enrollment ID: I20190521002327 |
| Provider Name | Washington Gondi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346662962 PECOS PAC ID: 5597098962 Enrollment ID: I20190618000899 |
| Provider Name | Elizabeth A Masters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528539285 PECOS PAC ID: 8729481114 Enrollment ID: I20210722001854 |
| Provider Name | Alicia Odell Miers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619421773 PECOS PAC ID: 8224301874 Enrollment ID: I20221217000467 |
| Provider Name | Jacintha C Nwoko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629789284 PECOS PAC ID: 9931574050 Enrollment ID: I20230403002009 |
| Provider Name | Mark A. Husk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467909267 PECOS PAC ID: 0446782775 Enrollment ID: I20241011001646 |
| Provider Name | Stephanie Renee Ponczek |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1528788205 PECOS PAC ID: 6103279252 Enrollment ID: I20241108000545 |
Soulmosaic, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Scott Ave Ste 4, Morgantown, WV 26508 Phone: 304-685-8967 | |
West Virginia University Hospitals, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3600 Collins Ferry Rd, Morgantown, WV 26505 Phone: 304-598-6429 | |
Noah Medical Wellness Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1400 Saratoga Ave, Morgantown, WV 26505 Phone: 304-599-1680 | |
Winding Way Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Park Ridge Dr, Morgantown, WV 26508 Phone: 304-692-1131 | |
West Virginia University Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 855-988-2273 | |
Monongalia County Child Advocacy Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 Greenbag Rd, Morgantown, WV 26508 Phone: 304-598-0344 Fax: 304-598-0558 | |
Leah Mcintire, Ma, Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Greenbag Rd, Suite M4, Morgantown, WV 26501 Phone: 304-241-4123 Fax: 304-381-4447 |