| Professional Counseling & Consulting Services, Llc | |
|
4600a Rt. 152 Lavalette WV 25535-1236 | |
| (304) 942-0000 | |
| (304) 522-0018 |
| Full Name | Professional Counseling & Consulting Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4600a Rt. 152, Lavalette, West Virginia |
| Authorized Official Name and Position | Joyce Bragg Perry (DIRECTOR) |
| Authorized Official Contact | 3045285815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Counseling & Consulting Services, Llc Po Box 1236 Lavalette WV 25535-1236 Ph: (304) 942-0000 | Professional Counseling & Consulting Services, Llc 4600a Rt. 152 Lavalette WV 25535-1236 Ph: (304) 942-0000 |
| NPI Number | 1942528336 |
|---|---|
| Provider Enumeration Date | 05/10/2010 |
| Last Update Date | 05/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942528336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | AP00940567 (West Virginia) | Secondary |
| 251S00000X | Community/behavioral Health | 1728 (West Virginia) | Primary |
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