| Known By Name Counseling Services, Llc | |
|
1031 National Rd Wheeling WV 26003-5709 | |
| (304) 238-4074 | |
| Not Available |
| Full Name | Known By Name Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1031 National Rd, Wheeling, West Virginia |
| Authorized Official Name and Position | Tyler Jack Kilbane (OWNER/MANAGER) |
| Authorized Official Contact | 3042384074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Known By Name Counseling Services, Llc 1031 National Rd Wheeling WV 26003-5709 Ph: (304) 238-4074 | Known By Name Counseling Services, Llc 1031 National Rd Wheeling WV 26003-5709 Ph: (304) 238-4074 |
| NPI Number | 1164287546 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164287546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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