| Providence Counseling Ministries, Inc | |
| 41 Maddex Drive Shepherdstown WV 25443 | |
| (304) 876-3878 | |
| (304) 876-1471 | 
| Full Name | Providence Counseling Ministries, Inc | 
|---|---|
| Speciality | Counselor | 
| Location | 41 Maddex Drive, Shepherdstown, West Virginia | 
| Authorized Official Name and Position | David Myers (DIRECTOR) | 
| Authorized Official Contact | 3048763878 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Providence Counseling Ministries, Inc Po Box 3373 Shepherdstown WV 25443-3373 Ph: (304) 876-3878 | Providence Counseling Ministries, Inc 41 Maddex Drive Shepherdstown WV 25443 Ph: (304) 876-3878 | 
| NPI Number | 1356420608 | 
|---|---|
| Provider Enumeration Date | 11/06/2006 | 
| Last Update Date | 08/22/2020 | 
| Medicare PECOS PAC ID | 7315382835 | 
|---|---|
| Medicare Enrollment ID | O20240223002976 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1356420608 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1548 (West Virginia) | Primary | 
| Provider Name | Jennifer Ann Bailey | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1942978341 PECOS PAC ID: 7911342472 Enrollment ID: I20240223004191 | 
| Provider Name | Anna Whittington | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1972343721 PECOS PAC ID: 5395279954 Enrollment ID: I20241105003973 | 
| Christine Hope Duewel Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 S Duke Street, Shepherdstown, WV 25443 Phone: 304-582-4555 Fax: 304-876-2442 | |
| West Virginia University Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Maclaine Way Ste A, Shepherdstown, WV 25443 Phone: 304-876-6343 Fax: 304-901-7024 | |
| Potomac Crossroads Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4781 Kearneysville Pike, Shepherdstown, WV 25443 Phone: 304-876-3500 | |
| Access 304 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 S Princess St, Shepherdstown, WV 25443 Phone: 681-900-3002 Fax: 304-974-0405 | |
| Cedar Spring Wellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 E German St Ste 200, Shepherdstown, WV 25443 Phone: 304-207-0782 | |
| Polonchak Educational Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 E. German St., Shepherdstown, WV 25443 Phone: 304-876-3022 Fax: 304-876-1421 |