MBH PHYSICIAN GROUP -WV PLLC NPI 1154840841

NPI Information

NPI: 1154840841
Provider Name: MBH PHYSICIAN GROUP -WV PLLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1418 MACCORKLE AVE SW
CHARLESTON, WV
ZIP 25303
Phone: (304) 925-6914
Get Directions

MBH PHYSICIAN GROUP -WV PLLC is a mental health (including community mental health center) clinic center in Charleston, WV. MBH PHYSICIAN GROUP -WV PLLC NPI is 1154840841. The provider is registered as an organization entity type.

The provider's business location address is:

1418 MACCORKLE AVE SW
CHARLESTON, WV
ZIP 25303-342
Phone: (304) 925-6914

The provider's authorized official is Cynthia Persily .
The authorized official title is Ceo and has the following contact phone number (304) 348-1421.

The enumeration date for this NPI number is 9/13/2017 and was last updated on 9/13/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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: 11/14/2023

NPI Synchronization or Removal

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