TRUE VINE LLC (NPI# 1467015123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467015123 |
| Entity Type | Organization |
| Organization Name | TRUE VINE LLC |
| Practice Address |
3566 Teays Valley Rd Ste 2 Hurricane WV 25526-9090 |
| Practice Telephone | 3045450033 |
| Practice Fax Number | 8644848751 |
| Mailing Telephone | 3045450033 |
| Mailing Fax Number | 8644848751 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2020-03-26 |
| Authorized Official Name | LINDA M GOAD (OWNER) |
| Authorized Official Telephone | 3045450033 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3566 TEAYS VALLEY RD STE 2 |
| City | HURRICANE |
| State | WV |
| Zip Code | 25526-9090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639444151 | Linda M Goad | Counselor | 3566 Teays Valley Rd Ste 2, Hurricane, WV 25526-9090 | 2012-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081707 | Paige E Walroth | Technician | 51 Overlook Dr, Hurricane, WV 25526 | 2020-10-21 |
| 1770195778 | Marilyn Sue Shank | Technician | 168 Willow Tree Way, Apt 313, Hurricane, WV 25526 | 2020-08-20 |
| 1275150351 | Wv Wellness and Recovery LLC | Clinic/Center | 4 Putnam Village Drive, Hurricane, WV 25526 | 2020-07-06 |
| 1538645718 | Patsy Samples | Technician | 3067 State Rt 34s, Hurricane, WV 25526 | 2018-07-11 |
| 1528550274 | Sarah Marie Jackson | Occupational Therapist | Genesis-putnam Center, 300 Seville Road, Hurricane, WV 25526 | 2018-05-30 |
| 1619466463 | Mh Psychological Services, Pllc | Psychologist | 125 Morris Ct, Hurricane, WV 25526 | 2018-05-08 |
| 1023510740 | William Riddle | Technician | 157 Washington Cirlce, Hurricane, WV 25526 | 2018-03-08 |
| 1942702303 | Natalie Whitman | Technician | 2933 State Route 34 South, Hurricane, WV 25526 | 2018-03-01 |
| 1972002681 | Dianna Roberts | Technician | 550 Dudding Avenue, Hurricane, WV 25526 | 2018-02-08 |
| 1174022875 | Nancy Adams | Technician | 1 Western Hills Drive, Hurricane, WV 25526 | 2018-02-08 |
| Find all providers in zip 25526 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093227209 | Paul Jackman | Counselor | 2994 S Gould Wash Rd, Hurricane, UT 84737 | 2017-10-27 |
| 1922542885 | Core Compass Counseling, PC | Counselor | 4 S 2600 W Ste 6, Hurricane, UT 84737-3247 | 2016-12-13 |
| 1710439013 | Rebecca Elaine Beaver | Counselor | 5 Lower Coach Rd, Hurricane, WV 25526-8601 | 2016-11-03 |
| 1548636947 | Deborah Jones | Counselor | 203 Taylor Dr, Hurricane, WV 25526-9002 | 2015-08-19 |
| 1235570383 | Rodney Mark Arnold | Counselor | 433 S. Diamond Ranch Parkway, Hurricane, UT 84737 | 2013-07-17 |
| 1639444151 | Linda M Goad | Counselor | 3566 Teays Valley Rd Ste 2, Hurricane, WV 25526-9090 | 2012-03-16 |
| 1407414519 | Stefnee Mcmullin | Counselor | 4 S 2600 W Ste 6, Hurricane, UT 84737-3247 | 2019-06-04 |
| 1730747254 | Tara Mcmullin Freiberg | Counselor | 4 S 2600 W Ste 6, Hurricane, UT 84737-3247 | 2019-05-30 |
| 1699252635 | Three Points Center, LLC | Counselor | 1500 E 2700 S, Hurricane, UT 84737-4000 | 2018-07-23 |
| 1679812812 | Christopher Steven Taggart | Counselor | 325 W 600 N, Hurricane, UT 84737-1682 | 2013-02-07 |
| Find all providers in HURRICANE | ||||
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| 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.