| Ohio Valley Guidance Services Llc | |
|
2204 Eoff St Wheeling WV 26003 | |
| (304) 233-4435 | |
| (304) 233-4436 |
| Full Name | Ohio Valley Guidance Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2204 Eoff St, Wheeling, West Virginia |
| Authorized Official Name and Position | Beth Ann Dague (PRESIDENT) |
| Authorized Official Contact | 3042334435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohio Valley Guidance Services Llc Po Box 6710 Wheeling WV 26003 Ph: (304) 233-4435 | Ohio Valley Guidance Services Llc 2204 Eoff St Wheeling WV 26003 Ph: (304) 233-4435 |
| NPI Number | 1548327166 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6204952641 |
|---|---|
| Medicare Enrollment ID | O20100923000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548327166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (West Virginia) | Primary |
| 104100000X | Social Worker | (West Virginia) | Primary |
| 1041C0700X | Social Worker - Clinical | (West Virginia) | Primary |
| Provider Name | Betty L Edmundson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174531073 PECOS PAC ID: 3870582950 Enrollment ID: I20040512000719 |
| Provider Name | Orlando J Sacco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104983725 PECOS PAC ID: 8527184969 Enrollment ID: I20100923000466 |
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