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:
Map and Directions
Authorized official contact:
Name: Myers, Jennifer Guriel PH.D.
Phone: (304) 241-1766

Health care specialties

SpecialtyCodeLicense #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 10 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 1306242540 NPPES
West Virginia MEDICAID 3910006572

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