| Tucker Day Report | |
|
213 First St Parsons WV 26287-1235 | |
| (304) 478-2833 | |
| (304) 478-4473 |
| Full Name | Tucker Day Report |
|---|---|
| Speciality | Counselor |
| Location | 213 First St, Parsons, West Virginia |
| Authorized Official Name and Position | Dustin Luzier (DIRECTOR) |
| Authorized Official Contact | 3044782833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tucker Day Report 213 First St Parsons WV 26287-1235 Ph: (304) 478-2833 | Tucker Day Report 213 First St Parsons WV 26287-1235 Ph: (304) 478-2833 |
| NPI Number | 1346792850 |
|---|---|
| Provider Enumeration Date | 11/01/2016 |
| Last Update Date | 04/01/2025 |
| Certification Date | 04/01/2025 |
| Medicare PECOS PAC ID | 3870025794 |
|---|---|
| Medicare Enrollment ID | O20241017000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346792850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Gregory A George |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972139582 PECOS PAC ID: 6507308442 Enrollment ID: I20240607000217 |
| Provider Name | Amy Cummings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457477713 PECOS PAC ID: 3779011218 Enrollment ID: I20250110001981 |
Appalachian Community Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Walnut St, Parsons, WV 26287 Phone: 304-478-2764 |