Mountaineer Psychological Services Pllc
LBN: Mountaineer Psychological Services
Mountaineer Psychological Services Pllc is an health care organization with primary practice located at 4000 Coombs Farm Drive Bldg D Unit 102, Morgantown WV 26508. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Mountaineer Psychological Services can be contacted via phone (304) 241-1766, or through Myers, Jennifer Guriel via phone (304) 241-1766.
Contact Information
Primary practice address
4000 Coombs Farm Drive Bldg D Unit 102
Morgantown WV 26508
Phone: (304) 241-1766
Fax: (304) 381-2648
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 926 | West Virginia |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 926 | West Virginia |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 926 | West Virginia |
| Agencies / Community/Behavioral Health | 251S00000X | 926 | West Virginia |
Profile Details
| NPI number | 1306242540 |
|---|---|
| LBN Legal business name | Mountaineer Psychological Services |
| DBA Doing business as | Mountaineer Psychological Services Pllc |
| Authorized official | Myers, Jennifer Guriel PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 17th, 2014 |
| Last updated | May 25th, 2016 - about 8 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 | 1306242540 | NPPES |
| West Virginia | MEDICAID | 3910006572 |
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