| Integrative Counseling Solutions Pllc | |
|
1762 Blue Horizon Dr Morgantown WV 26501-2280 | |
| (304) 685-4773 | |
| Not Available |
| Full Name | Integrative Counseling Solutions Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1762 Blue Horizon Dr, Morgantown, West Virginia |
| Authorized Official Name and Position | Michelle Lewis (OWNER) |
| Authorized Official Contact | 3046854773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Counseling Solutions Pllc 104 Poplar Dr Morgantown WV 26505-2518 Ph: (304) 685-4773 | Integrative Counseling Solutions Pllc 1762 Blue Horizon Dr Morgantown WV 26501-2280 Ph: (304) 685-4773 |
| NPI Number | 1235666132 |
|---|---|
| Provider Enumeration Date | 05/23/2017 |
| Last Update Date | 05/23/2017 |
| Medicare PECOS PAC ID | 4688935604 |
|---|---|
| Medicare Enrollment ID | O20180307001439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235666132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (West Virginia) | Primary |
| Provider Name | Michelle J Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295260099 PECOS PAC ID: 8022379049 Enrollment ID: I20180307001525 |
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