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Contact Information

MEDITELECARE OF WEST VIRGINIA PLLC
5098 WASHINGTON ST W STE 407
CHARLESTON, WV25313-1561
 Phone: 860-788-6404
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MEDITELECARE OF WEST VIRGINIA PLLC

NPI # 1235631888
LBN Legal business name MEDITELECARE OF WEST VIRGINIA PLLC
Authorized official ANDREA GODFREY - (CREDENTIALING & ENROLLMENT MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/28/2018
Last updated 05/05/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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