| Stacey Lynn Crandall, MS, NCC | |
|
100 Corporate Dr, Morgantown, WV 26501-4580 | |
| (304) 241-1766 | |
| (304) 381-2648 |
| Full Name | Stacey Lynn Crandall |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 100 Corporate Dr, Morgantown, 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 |
|---|---|---|---|
| 1942370911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | P54457 (New York) | Secondary |
| 101YP2500X | Counselor - Professional | 2072 (West Virginia) | Primary |
| Entity Name | Mountaineer Psychological Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306242540 PECOS PAC ID: 5799074191 Enrollment ID: O20160524000764 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Lynn Crandall, MS, NCC 648 Rockley Rd, Morgantown, WV 26508-2931 Ph: (304) 777-8620 | Stacey Lynn Crandall, MS, NCC 100 Corporate Dr, Morgantown, WV 26501-4580 Ph: (304) 241-1766 |
Madison Bonasso, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1005 White Willow Way, Morgantown, WV 26505 Phone: 304-460-5123 | |
Jamie Downs, MSW, LICSW, AADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3461 University Ave, Suite 102, Morgantown, WV 26505 Phone: 304-680-7003 | |
Mr. Travis L Watson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Turnstone Dr, Morgantown, WV 26505 Phone: 724-825-5527 | |
Brittany Noell Davis, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 Industrial Ave Ste 201, Morgantown, WV 26505 Phone: 304-241-1854 Fax: 304-381-2029 | |
Lauren Pavlic, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Fayette St Apt 206, Morgantown, WV 26505 Phone: 304-381-3659 | |
Emily F Horne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1005 White Willow Way, Morgantown, WV 26505 Phone: 304-212-7538 | |
Meredith Oppenheimer, Counselor Medicare: Medicare Enrolled Practice Location: 1005 White Willow Way, Morgantown, WV 26505 Phone: 304-460-5123 |