| Logan-mingo Area Mental Health, Inc. | |
|
174 Lmah Center Rd Logan WV 25601-4058 | |
| (304) 792-7130 | |
| Not Available |
| Full Name | Logan-mingo Area Mental Health, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 174 Lmah Center Rd, Logan, West Virginia |
| Authorized Official Name and Position | Angela Lynn Robertson (BENEFITS COORDINATO) |
| Authorized Official Contact | 3047927130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan-mingo Area Mental Health, Inc. Po Box 176 Logan WV 25601-0176 Ph: (304) 792-7130 | Logan-mingo Area Mental Health, Inc. 174 Lmah Center Rd Logan WV 25601-4058 Ph: (304) 792-7130 |
| NPI Number | 1326192436 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 01/30/2020 |
| Certification Date | 01/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326192436 | NPI | - | NPPES |
| 0005460002 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 11 (West Virginia) | Primary |
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