MOUNTAIN STATE PSYCHOLOGICAL SERVICES, PLLC; NPI #1326117409

Contact Information

MOUNTAIN STATE PSYCHOLOGICAL SERVICES, PLLC

130 CENTER ST
KEYSER, WV 26726-3520

Phone: 304-788-1113
Fax: 304-788-2777
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Intellectual & Developmental Disabilities	103TM1800X	62	Psychologist, Clinical
Counselor	101Y00000X
Psychologist	103T00000X	62	Psychologist, Clinical

Indicates primary specialty

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NPI Profile & details for MOUNTAIN STATE PSYCHOLOGICAL SERVICES, PLLC

NPI Number 1326117409

LBN Legal business name MOUNTAIN STATE PSYCHOLOGICAL SERVICES, PLLC

Authorized official SARAH BURKE - (DIRECTOR OF OPERATIONS)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/06/2006

Last updated 09/11/2025 - About 9 months ago

Identifiers

Medicaid

3810006086

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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MOUNTAIN STATE PSYCHOLOGICAL SERVICES, PLLC

Contact Information

Specialty

Intellectual & Developmental Disabilities

Counselor

Psychologist

NPI Profile & details for MOUNTAIN STATE PSYCHOLOGICAL SERVICES, PLLC

Reviews for MOUNTAIN STATE PSYCHOLOGICAL SERVICES, PLLC