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FAMILY SERVICE OF MARION & HARRISON COUNTIES INC NPI 1356455091


NPI Information

NPI: 1356455091
Provider Name: FAMILY SERVICE OF MARION & HARRISON COUNTIES INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1313 LOCUST AVE
SUITE 101
FAIRMONT, WV
ZIP 26554
Phone: (304) 366-4750
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FAMILY SERVICE OF MARION & HARRISON COUNTIES INC is a community behavioral health in Fairmont, WV. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. FAMILY SERVICE OF MARION & HARRISON COUNTIES INC NPI is 1356455091. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1313 LOCUST AVE
SUITE 101
FAIRMONT, WV
ZIP 26554-435
Phone: (304) 366-4750
Fax: (304) 366-4753

The provider's authorized official is Carolyn Jones .
The authorized official title is Executive Director and has the following contact phone number (304) 366-4750.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 5/6/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health129WEST VIRGINIANo
2251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10023793003MEDICAIDWEST VIRGINIA
2001709325OTHERWEST VIRGINIABLUE CROSS BLUE SHIELD
30023793004MEDICAIDWEST VIRGINIA
40023793000MEDICAIDWEST VIRGINIA
50023793001MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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