Hewlett A Trogdon, LPC | |
203 Kenova Ave, Wayne, WV 25570-9795 | |
(304) 525-7851 | |
Not Available |
Full Name | Hewlett A Trogdon |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 203 Kenova Ave, Wayne, 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 |
---|---|---|---|
1346578440 | NPI | - | NPPES |
0005355002 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1592 (West Virginia) | Primary |
Entity Name | Prestera Center For Mental Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356336903 PECOS PAC ID: 9234029307 Enrollment ID: O20040319001328 |
Mailing Address | Practice Location Address |
---|---|
Hewlett A Trogdon, LPC 99 Cracker Barrel Dr Ste 100, Barboursville, WV 25504-1650 Ph: (304) 525-7851 | Hewlett A Trogdon, LPC 203 Kenova Ave, Wayne, WV 25570-9795 Ph: (304) 525-7851 |
Michael A Goldman, LCSW, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 Kenova Ave, Wayne, WV 25570 Phone: 304-272-5136 Fax: 304-272-3807 | |
Joy Michelle Messer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 Kenova Ave, Wayne, WV 25570 Phone: 304-525-7851 | |
Tammy Chaney, Counselor Medicare: Medicare Enrolled Practice Location: 203 Kenova Ave, Wayne, WV 25570 Phone: 304-525-7851 |