MONONGALIA COUNTY CHILD ADVOCACY CENTER, INC. (NPI# 1548752124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548752124 |
| Entity Type | Organization |
| Organization Name | MONONGALIA COUNTY CHILD ADVOCACY CENTER, INC. |
| Practice Address |
909 Greenbag Rd Morgantown WV 26508-1504 |
| Practice Telephone | 3045980344 |
| Practice Fax Number | 3045980558 |
| Mailing Telephone | 3045980344 |
| Mailing Fax Number | 3045980558 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | TRACIE DOTSON (OFFICE MANAGER) |
| Authorized Official Telephone | 3045980344 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053725309 | Monongalia County Child Advocacy Center, Inc. | Clinic/Center | 909 Greenbag Rd, Morgantown, WV 26508-1504 | 2014-06-15 |
| Street Address |
909 GREENBAG RD |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26508-1504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245374016 | Billie J Keechel | Counselor | 909 Greenbag Rd, Morgantown, WV 26508-1504 | 2007-02-16 |
| 1083103212 | Darice Renee Yerkovich | Counselor | 909 Greenbag Rd, Morgantown, WV 26508-1504 | 2018-05-03 |
| 1679062806 | Carly Wears | Counselor | 909 Greenbag Rd, Morgantown, WV 26508-1504 | 2018-05-03 |
| 1356839161 | Laura Capage | Counselor | 909 Greenbag Rd, Morgantown, WV 26508-1504 | 2018-04-26 |
| 1053725309 | Monongalia County Child Advocacy Center, Inc. | Clinic/Center | 909 Greenbag Rd, Morgantown, WV 26508-1504 | 2014-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989026 | Ruth Gibson | Technician | 4 Elpaso Ave, Morgantown, WV 26508 | 2020-10-09 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| 1396356283 | Jessica Dawn Taylor | Technician | Lot 128 Healthy Heights Village, Morgantown, WV 26508 | 2020-08-13 |
| 1992297733 | Jeffrey G Minchau Dds Ms | Dentist | 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 | 2018-06-06 |
| 1346796257 | Gregory Ice | Social Worker | 1627 Grafton Rd, Morgantown, WV 26508 | 2016-08-31 |
| 1306242540 | Mountaineer Psychological Services | Community/Behavioral Health | 4000 Coombs Farm Drive, Bldg D Unit 102, Morgantown, WV 26508 | 2014-11-17 |
| 1750722906 | Tingler Rx | Pharmacy | 889 Venture Drive, Suite 2, Morgantown, WV 26508 | 2013-07-16 |
| 1881033983 | Amy Rodgers Smith | Music Therapist | 714 Venture Drive #115, Morgantown, WV 26508 | 2013-06-21 |
| 1013250588 | Walid Radwan | Student in an Organized Health Care Education/Training Program | 1121 Eagle Run Road, Morgantown, WV 26508 | 2013-04-02 |
| 1467727040 | Sara Lyndsey Disimone | Counselor | 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 | 2012-03-15 |
| Find all providers in zip 26508 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295813244 | Insight Psychological & Counseling Inc. | Psychologist | 1401 Hospital Dr, Ste # 106, Hurricane, WV 25526-9237 | 2006-11-01 |
| City | MORGANTOWN |
| Zip Code | 26508 |
Please comment or provide details below to improve the information on MONONGALIA COUNTY CHILD ADVOCACY 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.