| Richard Hoffman | |
|
1801 1st St Moundsville WV 26041-1309 | |
| (304) 451-0677 | |
| (724) 972-4627 |
| Full Name | Richard Hoffman |
|---|---|
| Speciality | Counselor |
| Location | 1801 1st St, Moundsville, West Virginia |
| Authorized Official Name and Position | Richard Hoffman (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7243961510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Hoffman 101 Pembroke Ct Greensburg PA 15601-6404 Ph: (724) 396-1510 | Richard Hoffman 1801 1st St Moundsville WV 26041-1309 Ph: (304) 451-0677 |
| NPI Number | 1891262036 |
|---|---|
| Provider Enumeration Date | 10/25/2018 |
| Last Update Date | 05/10/2019 |
| Medicare PECOS PAC ID | 7618137522 |
|---|---|
| Medicare Enrollment ID | O20190521001537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891262036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Michelle Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285101758 PECOS PAC ID: 7315396553 Enrollment ID: I20231213000457 |
| Provider Name | Donna Niggemyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861062317 PECOS PAC ID: 6901342294 Enrollment ID: I20240723002173 |
| Provider Name | Matthew Paul Lane Essigmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104546209 PECOS PAC ID: 6002325990 Enrollment ID: I20250603000164 |
Richard Hoffman Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 1st St, Moundsville, WV 26041 Phone: 304-451-0677 Fax: 724-972-4627 | |
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Yellow Brick Road, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1510 4th St, Moundsville, WV 26041 Phone: 304-551-1279 | |
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