CHARLESTON TREATMENT CENTER, LLC (NPI# 1720480668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720480668 |
| Entity Type | Organization |
| Organization Name | CHARLESTON TREATMENT CENTER, LLC |
| Practice Address |
2157 Greenbrier St Charleston WV 25311-9623 |
| Practice Telephone | 3043445924 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |
| Authorized Official Name | JOHN PELOQUIN (CTC DIVISION PRESIDENT) |
| Authorized Official Telephone | 7607100951 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
02 | WV | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861906687 | Charleston Treatment Center, LLC | Clinic/Center | 2157 Greenbrier St, Charleston, WV 25311-9623 | 2017-12-01 |
| Street Address |
2157 GREENBRIER ST |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25311-9623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730149220 | Liza A. Arceo | Anesthesiology | 2157 Greenbrier St, Charleston, WV 25311-9623 | 2006-03-27 |
| 1861906687 | Charleston Treatment Center, LLC | Clinic/Center | 2157 Greenbrier St, Charleston, WV 25311-9623 | 2017-12-01 |
| 1881840940 | Rebecca Ann Alley | Social Worker | 2157 Greenbrier St, Charleston, WV 25311-9623 | 2008-08-08 |
| 1528230182 | Rebecca Dawn Metzger | Counselor | 2157 Greenbrier St, Charleston, WV 25311-9623 | 2008-03-24 |
| 1669644233 | Robin Annette Young | Counselor | 2157 Greenbrier St, Charleston, WV 25311-9623 | 2008-03-24 |
| 1558581421 | Jennifer Williams | Counselor | 2157 Greenbrier St, Charleston, WV 25311-9623 | 2007-04-26 |
| 1003036823 | Jatue Richardson | Counselor | 2157 Greenbrier St, Charleston, WV 25311-9623 | 2007-04-26 |
| 1114147998 | William Allen Hunter | Licensed Practical Nurse | 2157 Greenbrier St, Charleston, WV 25311-9623 | 2007-04-26 |
| 1831319706 | Robert D Myles | Counselor | 2157 Greenbrier St, Charleston, WV 25311-9623 | 2007-04-26 |
| 1679793459 | Lisa Jean Wright | Licensed Practical Nurse | 2157 Greenbrier St, Charleston, WV 25311-9623 | 2007-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225476 | Darlene Lacy-carter | Technician | 1406 Milton Street, Charleston, WV 25311 | 2020-11-04 |
| 1942810452 | Joshua Reese | Technician | 1248 Valley Grove Rd, Charleston, WV 25311 | 2020-08-10 |
| 1538710785 | Pamela White | Technician | 542 Harmony Hollow Road, Charleston, WV 25311 | 2019-09-27 |
| 1780104083 | The Stairlift People, Inc | Public Health or Welfare | 2510 Kanawha Blvd East, Charleston, WV 25311 | 2017-06-27 |
| 1902271505 | Mary Workman | Registered Nurse | 1520 Wahington Street East, Charleston, WV 25311 | 2015-12-08 |
| 1871966564 | Ashley Nicole Lester | Occupational Therapy Assistant | 1000 Association Dr., Charleston, WV 25311 | 2015-11-04 |
| 1548671530 | Holly Markins | Social Worker | 300 Tracy Way, Charleston, WV 25311 | 2014-05-13 |
| 1124453964 | West Virginia Health Right, Inc. | Clinic/Center | 1520 Washington St. E., Charleston, WV 25311 | 2013-09-12 |
| 1457678005 | Sarah Lyn Tussey | Occupational Therapy Assistant | 1 Supthin Dr, Charleston, WV 25311 | 2010-04-22 |
| 1639344708 | Daymark Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1592 Washington Street East, Suite 2, Charleston, WV 25311 | 2008-04-29 |
| Find all providers in zip 25311 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982268405 | Msrc, LLC | Clinic/Center | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2019-04-30 |
| 1861906687 | Charleston Treatment Center, LLC | Clinic/Center | 2157 Greenbrier St, Charleston, WV 25311-9623 | 2017-12-01 |
| 1255349726 | Charleston Treatment Center, LLC. | Clinic/Center | 2157 Greenbrier St, Charleston, WV 25311-9623 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598167496 | Beckley Treatment Center, LLC | Clinic/Center | 175 Philpott Ln, Beaver, WV 25813-9501 | 2014-09-23 |
| 1629290127 | Martinsburg Institiute | Clinic/Center | 223 Eagle School Rd, Martinsburg, WV 25404-3367 | 2007-05-03 |
| 1013029156 | Clarksburg Treatment Center | Clinic/Center | 706 Oakmound Rd, Clarksburg, WV 26301-9398 | 2006-08-31 |
| 1982614772 | Wheeling Treatment Center, LLC | Clinic/Center | 40 Orrs Ln, Triadelphia, WV 26059-1455 | 2006-08-08 |
| 1043229594 | Beckley Treatment Center | Clinic/Center | 175 Philpot Lane, Beaver, WV 25813 | 2006-08-05 |
| 1255349445 | Huntington Treatment Center, LLC | Clinic/Center | 135 4th Ave, Huntington, WV 25701-1219 | 2006-08-03 |
| 1891201703 | Wheeling Treatment Center, LLC | Clinic/Center | 40 Orrs Ln, Triadelphia, WV 26059-1455 | 2017-12-15 |
| 1124533930 | Clarksburg Treatment Center, LLC | Clinic/Center | 706 Oakmound Rd, Clarksburg, WV 26301-9398 | 2017-12-04 |
| 1689189490 | Williamson Treatment Center, LLC | Clinic/Center | 1609 W 3rd Ave, Williamson, WV 25661-3006 | 2017-12-04 |
| 1497260202 | Huntington Treatment Center, LLC | Clinic/Center | 135 4th Ave, Huntington, WV 25701-1219 | 2017-12-04 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 25311 |
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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.