| Blazing Star Counseling Ltd. Liability Co. | |
|
2033 Hudson St Charleston WV 25302-4028 | |
| (304) 687-6863 | |
| Not Available |
| Full Name | Blazing Star Counseling Ltd. Liability Co. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2033 Hudson St, Charleston, West Virginia |
| Authorized Official Name and Position | Allycia Stennett (OWNER) |
| Authorized Official Contact | 3046876863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blazing Star Counseling Ltd. Liability Co. 2033 Hudson St Charleston WV 25302-4028 Ph: (304) 687-6863 | Blazing Star Counseling Ltd. Liability Co. 2033 Hudson St Charleston WV 25302-4028 Ph: (304) 687-6863 |
| NPI Number | 1669254843 |
|---|---|
| Provider Enumeration Date | 10/20/2023 |
| Last Update Date | 10/20/2023 |
| Certification Date | 10/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669254843 | NPI | - | NPPES |
| 1699299172 | Other | NPI | |
| 1871074948 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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