Organization Name: | PROVIDENCE COUNSELING MINISTRIES, INC |
NPI Number: | 1356420608 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID MYERS (DIRECTOR) |
Mailing Address: | 41 Maddex Drive Shepherdstown |
State: | WV US |
Postal Code: | 25443 |
Phone Number: | 3048763878 |
Fax Number: | 3048761471 |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1548 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |