MBH PHYSICIAN GROUP -WV PLLC (NPI# 1154840841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154840841 |
| Entity Type | Organization |
| Organization Name | MBH PHYSICIAN GROUP -WV PLLC |
| Practice Address |
1418 Maccorkle Ave Sw Charleston WV 25303-1342 |
| Mailing Address |
1014 Cedarwood Cir Florence SC 29501-8497 |
| Practice Telephone | 3049256914 |
| Mailing Telephone | 8436874329 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |
| Authorized Official Name | CYNTHIA PERSILY (CEO) |
| Authorized Official Telephone | 3043481421 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265951271 | Mbh Physician Group -wv Pllc | Pharmacy | 1418 Maccorkle Ave Sw, Charleston, WV 25303-1342 | 2017-09-12 |
| Street Address |
1418 MACCORKLE AVE SW |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25303-1342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720072739 | West Virginia Home Health Svcs Inc | Home Health | 1418 Maccorkle Ave Sw, Charleston, WV 25303-1331 | 2005-09-06 |
| 1265951271 | Mbh Physician Group -wv Pllc | Pharmacy | 1418 Maccorkle Ave Sw, Charleston, WV 25303-1342 | 2017-09-12 |
| 1962868158 | Trinity Nicholas | Social Worker | 1418 Maccorkle Ave Sw, A, Charleston, WV 25303-1342 | 2016-01-05 |
| 1740678978 | Michelle Mcfarland | Psychologist | 1418 Maccorkle Ave Sw, A, Charleston, WV 25303-1342 | 2014-12-22 |
| 1467725606 | Jennifer Thacker | Pharmacist | 1418 Maccorkle Ave Sw, # E, Charleston, WV 25303-1342 | 2012-02-20 |
| 1871670794 | Emily Louise Strickland | Physician Assistant | 1418 Maccorkle Ave Sw, Charleston, WV 25303-1342 | 2006-11-01 |
| 1013933340 | Nohl Arthur Braun Jr. | Psychiatry & Neurology | 1418 Maccorkle Ave Sw, Charleston, WV 25303-1331 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588009 | Shirley Ann Womack | Technician | 131 6th Ave. Apt.#305, South Charleston, WV 25303 | 2020-11-04 |
| 1407350713 | Special Touch Nursing Services, Inc. | In Home Supportive Care | 325 4th Ave Ste 1, South Charleston, WV 25303 | 2018-03-21 |
| 1003213471 | Neveah Health & Wellness Center, Pllc | Family Medicine | 538 3rd Avenue, South Charleston, WV 25303 | 2014-12-01 |
| 1760810444 | Martin, Dds Pllc | Dentist | 140 7th Ave, South Charlestown, WV 25303 | 2013-10-16 |
| 1053594267 | Mary Elizabeth Taylor | Specialist | 117 7th Avenue, South Charleston, WV 25303 | 2007-12-11 |
| 1093937633 | Loved Ones In Home Care | Home Health | 144 7th Ave, South Charleston, WV 25303 | 2007-05-03 |
| 1477643302 | William V. Jordan | Chiropractor | 411 D. Street, South Charleston, WV 25303 | 2006-10-13 |
| 1699864793 | Debora Lynn Wells | Counselor | 1418a Maccorkle Avenue Sw, Charleston, WV 25303 | 2006-10-12 |
| 1457443830 | Special Touch Nursing Services, Inc. | Home Health | 325 Fourth Ave, Suite #1, South Charleston, WV 25303 | 2006-09-29 |
| 1275625964 | Bryan Scott Eder | Dentist | 71 Maccorkle Ave Sw, South Charleston, WV 25303 | 2006-09-29 |
| Find all providers in zip 25303 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598305138 | Kg Psychotherapy LLC | Clinic/Center | 711a Saint Andrews Blvd Ste A, Charleston, SC 29407-7140 | 2020-01-12 |
| 1407499072 | Klw Counseling & Consulting, LLC | Clinic/Center | 125 Wappoo Creek Dr Ste G, Charleston, SC 29412-2162 | 2019-10-25 |
| 1679060420 | Partnership of African American Churches Inc. | Clinic/Center | 1514 Kanawha Blvd W, Charleston, WV 25387-2533 | 2018-04-17 |
| 1386851509 | Kanawha Valley Center Inc | Clinic/Center | 200 Bradford Street, Charleston, WV 25301-5301 | 2007-05-17 |
| 1659382703 | Highland Behavioral Health Services Inc | Clinic/Center | 511 Morris Street, Charleston, WV 25301 | 2006-08-11 |
| 1740291897 | Highland Behavioral Health Services Inc | Clinic/Center | 5600 Maccorkle Ave Se, Suite 6, Charleston, WV 25304 | 2006-08-11 |
| 1225645005 | Mikayla Harper, LLC | Clinic/Center | 452 Folly Rd, Charleston, SC 29412-2641 | 2020-09-25 |
| 1760896740 | Highland Behavioral Health Services, Inc | Clinic/Center | 2500 Cherokee Avenue, Charleston, WV 25304 | 2014-06-17 |
| 1164639373 | Kanawha Valley Center Inc | Clinic/Center | 200 Bradford Street, Charleston, WV 25301-5301 | 2007-05-17 |
| 1760596480 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2006-08-19 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25303 |
Please comment or provide details below to improve the information on MBH PHYSICIAN GROUP -WV PLLC.
| 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.