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BLUE RIDGE COMMUNITY & COUNSELING NPI 1477693208


NPI Information

NPI: 1477693208
Provider Name: BLUE RIDGE COMMUNITY & COUNSELING
Classification: Counselor - 101Y00000X
Entity Type: Organization

CLIA Number: 51D2047180

Address:
213 WEST JOHN STREET
MARTINSBURG, WV
ZIP 25401
Phone: (304) 263-0345
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BLUE RIDGE COMMUNITY & COUNSELING is a counselor in Martinsburg, WV. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. BLUE RIDGE COMMUNITY & COUNSELING NPI is 1477693208. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

213 WEST JOHN STREET
MARTINSBURG, WV
ZIP 25401
Phone: (304) 263-0345
Fax: (304) 263-0367

The provider's authorized official is Ginger Oconnell .
The authorized official title is Vice President Counselor and has the following contact phone number (304) 263-0345.

The CLIA number assigned to this NPI record is 51D2047180 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 7/16/2008.


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
1101Y00000XCounselor919WEST VIRGINIAYes

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
1919OTHERWEST VIRGINIAWV BOARD OF EXAMINERS

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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