Damous Psychological Services Pllc

LBN: Damous Psychological Services Pllc
Damous Psychological Services Pllc is an health care organization with primary practice located at 218 D St , South Charleston WV 25303-3104. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Damous Psychological Services Pllc can be contacted via phone (304) 720-3835, or through Damous, George Michael via phone (304) 720-3835.

Contact Information

Primary practice address
218 D St South Charleston WV 25303-3104
Phone: (304) 720-3835
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Damous, George Michael Master of Arts (MA)
Phone: (304) 720-3835

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 748 West Virginia

Profile Details

NPI number 1710306568
LBN Legal business name Damous Psychological Services Pllc
DBA Doing business as
Authorized official Damous, George Michael Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2014
Last updated Apr 9th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710306568 NPPES
West Virginia MEDICAID 3810000195
West Virginia MEDICAID 3810009212

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