| Augusta Wellness, Llc | |
|
425 Industrial Ave Morgantown WV 26505-0347 | |
| (304) 680-4673 | |
| Not Available |
| Full Name | Augusta Wellness, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 425 Industrial Ave, Morgantown, West Virginia |
| Authorized Official Name and Position | Christa Aucremanne (OWNER/CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3046804673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Augusta Wellness, Llc Po Box 437 Reedsville WV 26547-0437 Ph: (304) 680-4673 | Augusta Wellness, Llc 425 Industrial Ave Morgantown WV 26505-0347 Ph: (304) 680-4673 |
| NPI Number | 1417318551 |
|---|---|
| Provider Enumeration Date | 03/17/2016 |
| Last Update Date | 03/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417318551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | DP00942181 (West Virginia) | Primary |
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