Southern Psychiatric Services

LBN: Southern Psychiatric Services
Southern Psychiatric Services is an health care organization with primary practice located at 414 Greenway Ave Suite 200, Charleston WV 25309-1426. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Southern Psychiatric Services can be contacted via phone (304) 414-9161, or through Warren, Randy L via phone (304) 414-9161.

Contact Information

Primary practice address
414 Greenway Ave Suite 200 Charleston WV 25309-1426
Phone: (304) 414-9161
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Warren, Randy L Doctor of Medicine (MD)
Phone: (304) 414-9161

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X West Virginia

Profile Details

NPI number 1578639878
LBN Legal business name Southern Psychiatric Services
DBA Doing business as
Authorized official Warren, Randy L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 21st, 2022 - about 3 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 1578639878 NPPES
West Virginia MEDICAID 3810003269

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