Organization Name: | OHIO VALLEY COUNSELING SERVICE |
NPI Number: | 1194002790 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANE AMONS (OWNER) |
Mailing Address: | 324 7th St Moundsville |
State: | WV US |
Postal Code: | 260412125 |
Phone Number: | 3048430909 |
Fax Number: | 3048430999 |
NPI Enumeration Date: | 11/09/2011 |
NPI Last Update Date: | 11/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E0003658 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |