| Professional Counseling Associates, Inc. | |
|
41 W 5th Ave Williamson WV 25661-3201 | |
| (304) 235-3390 | |
| (304) 235-3391 |
| Full Name | Professional Counseling Associates, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 41 W 5th Ave, Williamson, West Virginia |
| Authorized Official Name and Position | Susan Carol Baisden (OWNER THERAPIST) |
| Authorized Official Contact | 3042353390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Counseling Associates, Inc. 41 W 5th Ave Williamson WV 25661-3201 Ph: (304) 235-3390 | Professional Counseling Associates, Inc. 41 W 5th Ave Williamson WV 25661-3201 Ph: (304) 235-3390 |
| NPI Number | 1720143555 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 08/03/2015 |
| Medicare PECOS PAC ID | 4284528977 |
|---|---|
| Medicare Enrollment ID | O20040212000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720143555 | NPI | - | NPPES |
| 3810007784 | Medicaid | WV | |
| 062399 | Other | VALUE OPTIONS | |
| 0163475000 | Medicaid | WV |
| Provider Name | Susan C Baisden |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1558361527 PECOS PAC ID: 2062306764 Enrollment ID: I20181108000566 |
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