| Mary Lou Stottlemyer Lpc | |
|
3361 Valley Road Berkeley Springs WV 25411 | |
| (301) 964-0083 | |
| (304) 258-9313 |
| Full Name | Mary Lou Stottlemyer Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3361 Valley Road, Berkeley Springs, West Virginia |
| Authorized Official Name and Position | Mary Lou Stottlemyer (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 3019640083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Lou Stottlemyer Lpc P.o. Box 150 Berkeley Springs WV 25411 Ph: (301) 964-0083 | Mary Lou Stottlemyer Lpc 3361 Valley Road Berkeley Springs WV 25411 Ph: (301) 964-0083 |
| NPI Number | 1194046623 |
|---|---|
| Provider Enumeration Date | 06/18/2010 |
| Last Update Date | 06/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194046623 | NPI | - | NPPES |
| O802284M | Other | WV | OPTIMA HEALTH |
| 001818410 | Other | WV | MOUNTAIN STATE BLUE CROSS BLUE SHIELD |
| 309967 | Other | WV | ANTHEM |
| 270526 | Other | WV | COMPSYCH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1736 (West Virginia) | Primary |
Gail A. Shade, M.a., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 Fairfax St, Suite #3, Berkeley Springs, WV 25411 Phone: 304-258-5353 Fax: 304-258-9313 | |
School Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 173 Ridgeview Dr, Berkeley Springs, WV 25411 Phone: 304-923-3650 |