| Winds Of Change Recovery And Mental Health Llc | |
|
311 Prince St Beckley WV 25801-4515 | |
| (304) 953-3987 | |
| Not Available |
| Full Name | Winds Of Change Recovery And Mental Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 311 Prince St, Beckley, West Virginia |
| Authorized Official Name and Position | Christa Nicole Haney (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3046446620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winds Of Change Recovery And Mental Health Llc 311 Prince St Beckley WV 25801-4515 Ph: (304) 953-3987 | Winds Of Change Recovery And Mental Health Llc 311 Prince St Beckley WV 25801-4515 Ph: (304) 953-3987 |
| NPI Number | 1386333656 |
|---|---|
| Provider Enumeration Date | 05/03/2023 |
| Last Update Date | 11/08/2023 |
| Certification Date | 10/26/2023 |
| Medicare PECOS PAC ID | 4082066246 |
|---|---|
| Medicare Enrollment ID | O20240123004707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386333656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ann M Sumpter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124781638 PECOS PAC ID: 9234575291 Enrollment ID: I20240312004122 |
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