| Patchwork Therapy And Growth Center, Llc | |
|
4766 Us Route 60 Unit B Huntington WV 25705-1940 | |
| (304) 802-4769 | |
| (304) 318-7183 |
| Full Name | Patchwork Therapy And Growth Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4766 Us Route 60 Unit B, Huntington, West Virginia |
| Authorized Official Name and Position | Jessica Kirk-mccomas (OWNER) |
| Authorized Official Contact | 3048024769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patchwork Therapy And Growth Center, Llc Po Box 485 Wayne WV 25570-0485 Ph: (304) 802-4769 | Patchwork Therapy And Growth Center, Llc 4766 Us Route 60 Unit B Huntington WV 25705-1940 Ph: (304) 802-4769 |
| NPI Number | 1003588633 |
|---|---|
| Provider Enumeration Date | 10/01/2021 |
| Last Update Date | 08/13/2022 |
| Certification Date | 08/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003588633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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