LOGAN-MINGO AREA MENTAL HEALTH, INC (NPI# 1285789537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285789537 |
| Entity Type | Organization |
| Organization Name | LOGAN-MINGO AREA MENTAL HEALTH, INC |
| Practice Address |
174 Lmah Center Rd Logan WV 25601-4058 |
| Mailing Address |
Po Box 176 Logan WV 25601-0176 |
| Practice Telephone | 3047927130 |
| Mailing Telephone | 3047927130 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | ANGELA LYNN ROBERTSON (BENEFITS COORDINATOR) |
| Authorized Official Telephone | 3047927130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
11 | WV | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0005460000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861023699 | Logan-mingo Area Mental Health, Inc | Clinic/Center | 2954 Buffalo Creek Road, Chattaroy, WV 25667 | 2020-01-30 |
| 1598396202 | Logan-mingo Area Mental Health, Inc | Clinic/Center | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2020-01-31 |
| Street Address |
174 LMAH CENTER RD |
| City | LOGAN |
| State | WV |
| Zip Code | 25601-4058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053339135 | Antonio R Diaz Jr. | Psychiatry & Neurology | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2006-07-17 |
| 1215548714 | Sharon K. Jeffrey | Social Worker | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2020-08-10 |
| 1598396202 | Logan-mingo Area Mental Health, Inc | Clinic/Center | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2020-01-31 |
| 1811535032 | Megan Leigh Montgomery | Nurse Practitioner | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2019-12-18 |
| 1427522218 | Logan Mingo Area Mental Health | General Practice | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2019-01-15 |
| 1497239487 | Ladina R Fields | Nurse Practitioner | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2018-09-17 |
| 1336632157 | Valorie Ann Patrick | Nurse Practitioner | 174 Lmah Center Rd, Logan, WV 25601 | 2018-06-07 |
| 1235408121 | Logan Mingo Area Mental Health | Clinic/Center | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2011-12-21 |
| 1437326832 | Logan Mingo Area Mental Health | Clinic/Center | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2008-05-14 |
| 1730391962 | Brianne Michelle Sperry | Counselor | 174 Lmah Center Rd, Logan, WV 25601-4058 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| Find all providers in zip 25601 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
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| 1891907788 | United Summit Center Inc-wavier | Clinic/Center | 6 Hospital Plz, Clarksburg, WV 26301-9316 | 2007-05-04 |
| 1427278480 | Prestera Center for Mental Health Services, Inc | Clinic/Center | 3375 Us Route 60, Huntington, WV 25705-2837 | 2007-05-01 |
| 1740406404 | Fmrs Health Systems Inc | Clinic/Center | 101 S Eisenhower Dr, Beckley, WV 25801-4929 | 2007-04-18 |
| 1780711291 | Autism Service Center | Clinic/Center | 10 6th Ave W, Huntington, WV 25701-0028 | 2007-02-28 |
| 1508907338 | Open Doors for The Developmentally Challenged, Inc. | Clinic/Center | 211 E Washington St, Lewisburg, WV 24901-1423 | 2007-02-12 |
| 1184780629 | Rescare | Clinic/Center | 1207 Quarrier St, Suite 304, Charleston, WV 25301-1826 | 2006-12-29 |
| 1467518902 | Rescare | Clinic/Center | 1207 Quarrier St, Suite 304, Charleston, WV 25301-1826 | 2006-12-29 |
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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.