Mountain State Psychological Services, Pllc
LBN: Mountain State Psychological Services, Pllc
Mountain State Psychological Services, Pllc is an health care organization with primary practice located at 130 Center St , Keyser WV 26726-3520. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Counselor is the primary health care specialty.
Mountain State Psychological Services, Pllc can be contacted via phone (304) 788-1113, or through Burke, Sarah K via phone (304) 788-1113.
Contact Information
Primary practice address
130 Center St
Keyser WV 26726-3520
Phone: (304) 788-1113
Fax: (304) 788-2777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X |
Profile Details
| NPI number | 1326117409 |
|---|---|
| LBN Legal business name | Mountain State Psychological Services, Pllc |
| DBA Doing business as | |
| Authorized official | Burke, Sarah K |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326117409 | NPPES |
| West Virginia | MEDICAID | 3810006086 |
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