| Mpac Mental Health West Virginia Pllc | |
|
302 Cedar Ridge Rd Sissonville WV 25320-9502 | |
| (304) 984-0046 | |
| Not Available |
| Full Name | Mpac Mental Health West Virginia Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 302 Cedar Ridge Rd, Sissonville, West Virginia |
| Authorized Official Name and Position | Michael Wills (CFO) |
| Authorized Official Contact | 3124471941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mpac Mental Health West Virginia Pllc 2045 W Grand Ave Ste B #28354 Chicago IL 60612-1577 Ph: () - | Mpac Mental Health West Virginia Pllc 302 Cedar Ridge Rd Sissonville WV 25320-9502 Ph: (304) 984-0046 |
| NPI Number | 1265307581 |
|---|---|
| Provider Enumeration Date | 10/07/2025 |
| Last Update Date | 10/07/2025 |
| Certification Date | 10/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265307581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |