| Lewisburg Behavioral Health Center | |
|
149 Goheen St Lewisburg WV 24901-1661 | |
| (304) 438-6188 | |
| (304) 438-6819 |
| Full Name | Lewisburg Behavioral Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 149 Goheen St, Lewisburg, West Virginia |
| Authorized Official Name and Position | Debra J Davidson-bennett (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3044386188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lewisburg Behavioral Health Center 176 Medical Center Dr Rainelle WV 25962-1064 Ph: (304) 438-6188 | Lewisburg Behavioral Health Center 149 Goheen St Lewisburg WV 24901-1661 Ph: (304) 438-6188 |
| NPI Number | 1265068001 |
|---|---|
| Provider Enumeration Date | 03/12/2020 |
| Last Update Date | 04/26/2022 |
| Certification Date | 04/26/2022 |
| Medicare PECOS PAC ID | 7416861810 |
|---|---|
| Medicare Enrollment ID | O20200504000524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265068001 | NPI | - | NPPES |
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