| Two Rivers Counseling Llc | |
|
224 E Liberty St Charles Town WV 25414-1824 | |
| (304) 725-7176 | |
| Not Available |
| Full Name | Two Rivers Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 224 E Liberty St, Charles Town, West Virginia |
| Authorized Official Name and Position | Robyn Harrison-taft (OWNER) |
| Authorized Official Contact | 3045793272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Rivers Counseling Llc 224 E Liberty St Charles Town WV 25414-1824 Ph: (304) 725-7176 | Two Rivers Counseling Llc 224 E Liberty St Charles Town WV 25414-1824 Ph: (304) 725-7176 |
| NPI Number | 1508137969 |
|---|---|
| Provider Enumeration Date | 01/17/2012 |
| Last Update Date | 12/10/2024 |
| Certification Date | 12/10/2024 |
| Medicare PECOS PAC ID | 1355871989 |
|---|---|
| Medicare Enrollment ID | O20250211002914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508137969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 2010 (West Virginia) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Robyn M Harrison-taft |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376839886 PECOS PAC ID: 2264962893 Enrollment ID: I20250211003049 |
| Provider Name | Jennifer Rebecca Newman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841651569 PECOS PAC ID: 4486184041 Enrollment ID: I20250212000111 |
| Provider Name | Heather Rainey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699312728 PECOS PAC ID: 3173950474 Enrollment ID: I20250212000225 |
| Provider Name | Jacqueline Raugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033861661 PECOS PAC ID: 7012438237 Enrollment ID: I20250304003466 |
| Provider Name | Sarah Elizabeth Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548695661 PECOS PAC ID: 8224305537 Enrollment ID: I20250313001349 |
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