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Contact Information

SOUTHERN HIGHLANDS COMMUNITY MENTAL HEALTH CENTER, INC.
200 12TH STREET EXT
PRINCETON, WV24740-2329
 Phone: 304-425-9541
 Fax: 304-487-6199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
 

Mental Health

101YM0800X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for SOUTHERN HIGHLANDS COMMUNITY MENTAL HEALTH CENTER INC · (Female)

NPI Number 1235409590
Status Active
Credentials
Entity Individual
Enumeration date 01/04/2012
Last updated 01/04/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • WV License # 019
  • WV Medicaid 0005489000
  • WV Medicaid 0005489001
  • WV Medicaid 0005489002
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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