| Heather Thurbon, | |
|
225 Fairmont Ave, Fairmont, WV 26554-2710 | |
| (681) 404-6869 | |
| (681) 404-6871 |
| Full Name | Heather Thurbon |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 225 Fairmont Ave, Fairmont, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053952788 | NPI | - | NPPES |
| BP00942809 | Other | WV | LGSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | BP00942809 (West Virginia) | Primary |
| Entity Name | Appalachian Counseling Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568928877 PECOS PAC ID: 5597115782 Enrollment ID: O20231229002926 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Thurbon, 225 Fairmont Ave, Fairmont, WV 26554-2710 Ph: (681) 404-6869 | Heather Thurbon, 225 Fairmont Ave, Fairmont, WV 26554-2710 Ph: (681) 404-6869 |
Dr. Judith Ann Black, PHD, LPC, LCMHC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 207 Fairmont Ave, Fairmont, WV 26554 Phone: 681-404-6869 | |
Anna Cronin, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Fairmont Ave, Fairmont, WV 26554 Phone: 681-404-6869 Fax: 681-404-6871 | |
Beatriz Cedeno, PROVISIONAL LICENSE Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Fairmont Ave, Fairmont, WV 26554 Phone: 681-404-6869 | |
Paulina Kristen Elmo, MSW, LGSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Benoni Ave, Fairmont, WV 26554 Phone: 681-404-6135 | |
Ms. Cindy Jo Wanamaker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 448 Leonard Ave, Fairmont, WV 26554 Phone: 304-366-7174 Fax: 304-366-7419 | |
Haley Wable, Counselor Medicare: Medicare Enrolled Practice Location: 207 Fairmont Ave, Fairmont, WV 26554 Phone: 681-404-6869 |