APPALACHIAN LIFE ENRICHMENT COUNSELING CENTER LLC NPI 1568928877

NPI Information

NPI: 1568928877
Provider Name: APPALACHIAN LIFE ENRICHMENT COUNSELING CENTER LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

CLIA Number: 51D1042617

Address:
207 FAIRMONT AVE
FAIRMONT, WV
ZIP 26554
Phone: (910) 689-7100
Get Directions

APPALACHIAN LIFE ENRICHMENT COUNSELING CENTER LLC is a professional counselor in Fairmont, WV. APPALACHIAN LIFE ENRICHMENT COUNSELING CENTER LLC NPI is 1568928877. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

207 FAIRMONT AVE
FAIRMONT, WV
ZIP 26554-710
Phone: (910) 689-7100
Fax: (681) 404-6871

The provider's authorized official is Judith Ann Black .
The authorized official title is President and has the following contact phone number (681) 404-6869.

The CLIA number assigned to this NPI record is 51D1042617 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/12/2019 and was last updated on 4/14/2021.

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	Primary
1	101Y00000X	Counselor		No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	101YM0800X	Counselor	Mental Health	No
4	101YP1600X	Counselor	Pastoral	No
5	101YP2500X	Counselor	Professional	Yes
6	103T00000X	Psychologist		No
7	103TC0700X	Psychologist	Clinical	No
8	103TC1900X	Psychologist	Counseling	No
9	103TF0000X	Psychologist	Family	No
10	103TS0200X	Psychologist	School	No
11	104100000X	Social Worker		No
12	1041C0700X	Social Worker	Clinical	No

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »