| Mental Health Balance & Development, Llc | |
|
1605 Grand Central Ave Ste C Vienna WV 26105-1081 | |
| (304) 295-3345 | |
| Not Available |
| Full Name | Mental Health Balance & Development, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1605 Grand Central Ave Ste C, Vienna, West Virginia |
| Authorized Official Name and Position | Russell Dean Philpott (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 3042953345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Balance & Development, Llc 1605 Grand Central Ave Ste C Vienna WV 26105-1081 Ph: (304) 295-3345 | Mental Health Balance & Development, Llc 1605 Grand Central Ave Ste C Vienna WV 26105-1081 Ph: (304) 295-3345 |
| NPI Number | 1043734551 |
|---|---|
| Provider Enumeration Date | 07/27/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043734551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1598 (West Virginia) | Primary |
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