| Mountainview Services, Llc | |
|
1206 Suncrest Town Centre Dr Morgantown WV 26505-1828 | |
| (724) 554-7759 | |
| Not Available |
| Full Name | Mountainview Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1206 Suncrest Town Centre Dr, Morgantown, West Virginia |
| Authorized Official Name and Position | Thomas Michael Palko (OWNER) |
| Authorized Official Contact | 7245547759 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountainview Services, Llc 1774 Jefferson Rd Jefferson PA 15344-4157 Ph: (724) 554-7759 | Mountainview Services, Llc 1206 Suncrest Town Centre Dr Morgantown WV 26505-1828 Ph: (724) 554-7759 |
| NPI Number | 1235910159 |
|---|---|
| Provider Enumeration Date | 10/06/2023 |
| Last Update Date | 11/02/2023 |
| Certification Date | 11/02/2023 |
| Medicare PECOS PAC ID | 3870944234 |
|---|---|
| Medicare Enrollment ID | O20240110001450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235910159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Thomas Bryan Drvar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841598513 PECOS PAC ID: 0143455899 Enrollment ID: I20131105000630 |
| Provider Name | Christa J Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174758544 PECOS PAC ID: 7113291659 Enrollment ID: I20170922000263 |
| Provider Name | Stacey Lee Henline |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285279679 PECOS PAC ID: 6002269701 Enrollment ID: I20240130000812 |
| Provider Name | Gavin P Chatterley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437546058 PECOS PAC ID: 3375940943 Enrollment ID: I20250513002616 |
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