| True Vine Llc | |
|
3566 Teays Valley Rd Ste 2 Hurricane WV 25526-9090 | |
| (304) 545-0033 | |
| (864) 484-8751 |
| Full Name | True Vine Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3566 Teays Valley Rd Ste 2, Hurricane, West Virginia |
| Authorized Official Name and Position | Linda M Goad (OWNER) |
| Authorized Official Contact | 3045450033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| True Vine Llc 3566 Teays Valley Rd Ste 2 Hurricane WV 25526-9090 Ph: (304) 545-0033 | True Vine Llc 3566 Teays Valley Rd Ste 2 Hurricane WV 25526-9090 Ph: (304) 545-0033 |
| NPI Number | 1467015123 |
|---|---|
| Provider Enumeration Date | 04/18/2019 |
| Last Update Date | 12/08/2020 |
| Certification Date | 12/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467015123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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