DELUCA FAMILY WELLNESS CENTER, INC. (NPI# 1174729990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174729990 |
| Entity Type | Organization |
| Organization Name | DELUCA FAMILY WELLNESS CENTER, INC. |
| Practice Address |
Rt. 2 Box 406 Suite 121 Clarksburg WV 26301 |
| Practice Telephone | 3046263541 |
| Practice Fax Number | 3046263174 |
| Mailing Telephone | 3046263541 |
| Mailing Fax Number | 3046263174 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2008-01-01 |
| Authorized Official Name | MR. MATTHEW JOSEPH DELUCA (MANAGING MEMBER) |
| Authorized Official Telephone | 3046263541 |
| Authorized Official Credential | M.S. , LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1540 | WV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | WV LPC | 1540 | 01 |
| Street Address |
RT. 2 BOX 406 SUITE 121 |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687959 | Heather Murray Mckenna | Counselor | 15222 Comus Rd, Clarksburg, MD 20871-9139 | 2020-07-22 |
| 1003432766 | Madison Mazza | Counselor | 300 Brighton Circle Rd, Clarksburg, WV 26301-5659 | 2020-06-18 |
| 1952488199 | Antoinette Mary Kelley | Counselor | 12607 Clark Meadows Ct, Clarksburg, MD 20871-4000 | 2006-11-01 |
| 1609950765 | Matthew Joseph Deluca | Counselor | Rt. 2, Suite 121, Clarksburg, WV 26301-9802 | 2006-10-25 |
| 1922110816 | Franklin Brent Curry | Counselor | 6 Hopital Plaza, Clarksburg, WV 26301 | 2006-08-31 |
| 1013029099 | Kimberly Michelle Miller | Counselor | 6 Hospital Plaza, Clarksburg, WV 26301 | 2006-08-31 |
| 1750395620 | Gary Wayne Ammons | Counselor | United Summit Center, #6 Hospital Plaza, Clarksburg, WV 26301 | 2006-07-28 |
| 1508473158 | Sherry Dale | Counselor | 6 Hospital Plz, Clarksburg, WV 26301-9321 | 2020-09-28 |
| 1467061770 | Amy Christine Moran | Counselor | 6 Hospital Plz, Clarksburg, WV 26301-9316 | 2020-07-23 |
| 1376839845 | Denise M Higgins | Counselor | 6 Hospital Plz, Clarksburg, WV 26301-9316 | 2011-06-23 |
| Find all providers in CLARKSBURG | ||||
| City | CLARKSBURG |
| Zip Code | 26301 |
Please comment or provide details below to improve the information on DELUCA FAMILY WELLNESS CENTER, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.