| Passages Llc | |
|
3014 Champion Dr Ste B Barboursville WV 25504-9343 | |
| (740) 479-0067 | |
| (304) 900-3629 |
| Full Name | Passages Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3014 Champion Dr Ste B, Barboursville, West Virginia |
| Authorized Official Name and Position | Josh Parker (OWNER) |
| Authorized Official Contact | 7404790067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Passages Llc 2984 County Road 1 South Point OH 45680-8832 Ph: (740) 479-0067 | Passages Llc 3014 Champion Dr Ste B Barboursville WV 25504-9343 Ph: (740) 479-0067 |
| NPI Number | 1881371086 |
|---|---|
| Provider Enumeration Date | 06/29/2023 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Medicare PECOS PAC ID | 6608212352 |
|---|---|
| Medicare Enrollment ID | O20240315002885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881371086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sara Hughes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275858243 PECOS PAC ID: 9436592847 Enrollment ID: I20240213000376 |
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