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SOUTHERN HIGHLANDS COMMUNITY MENTAL HEALTH CENTER INC. NPI 1871863134


NPI Information

NPI: 1871863134
Provider Name: SOUTHERN HIGHLANDS COMMUNITY MENTAL HEALTH CENTER, INC.
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
200 12TH STREET EXT
PRINCETON, WV
ZIP 24740
Phone: (304) 425-9541
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SOUTHERN HIGHLANDS COMMUNITY MENTAL HEALTH CENTER, INC. is a counselor in Princeton, 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. SOUTHERN HIGHLANDS COMMUNITY MENTAL HEALTH CENTER, INC. NPI is 1871863134. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

200 12TH STREET EXT
PRINCETON, WV
ZIP 24740-329
Phone: (304) 425-9541
Fax: (304) 487-6199

The provider's authorized official is Judy L Akers .
The authorized official title is Chief Executive Officer and has the following contact phone number (304) 425-9541.

The enumeration date for this NPI number is 1/4/2012 and was last updated on 1/4/2012.


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
1101YP2500XCounselorProfessional019WEST VIRGINIANo
2103TC0700XPsychologistClinical019WEST VIRGINIANo
3103TC1900XPsychologistCounseling019WEST VIRGINIANo
4103TM1800XPsychologistIntellectual and Developmental Disabilities019WEST VIRGINIANo
51041C0700XSocial WorkerClinical019WEST VIRGINIANo
6106H00000XMarriage & Family Therapist019WEST VIRGINIANo
7101YA0400XCounselorAddiction (Substance Use Disorder)019WEST VIRGINIANo
8101YM0800XCounselorMental Health019WEST VIRGINIANo
9101Y00000XCounselor019WEST 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10005489000MEDICAIDWEST VIRGINIA
20005489002MEDICAIDWEST VIRGINIA
30005489001MEDICAIDWEST 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: 5/5/2024

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.