Meditelecare Of West Virginia PLLC
Psychologist, Clinical in Charleston, West Virginia
1235631888- Practice location
- 5098 Washington St W Ste 407, Charleston, WV 25313-1561
- Phone
- 860-788-6404
- Fax
- —
- Last updated
- May 5, 2025
Meditelecare Of West Virginia PLLC is a healthcare organization based in Charleston, WV. Meditelecare Of West Virginia PLLC practices in Charleston, WV. The NPI Number for Meditelecare Of West Virginia PLLC is 1235631888. The current practice location address for Meditelecare Of West Virginia PLLC is 5098 Washington St W Ste 407, Charleston, WV 25313-1561 and can be reached out via phone at 860-788-6404.
Provider Profile Details
- NPI Number
- 1235631888
- Provider Name
- Meditelecare Of West Virginia PLLC
- Provider Entity Type
- Organization
- Address
- 5098 Washington St W Ste 407, Charleston, WV 25313-1561
- Phone Number
- 860-788-6404
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Andrea Godfrey · Credentialing & Enrollment Manager · 860-398-6441
- Provider Enumeration Date
- February 28, 2018
- Last Update Date
- May 5, 2025
- Certification Date
- May 5, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5098 Washington St W Ste 407
Charleston, WV 25313-1561 - City
- Charleston
- State
- West Virginia
- Zip
- 25313-1561
- Phone Number
- 860-788-6404
Provider Business Mailing Address Details
- Address
- Po Box 1595
Middletown, CT 06457-8095 - City
- Middletown
- State
- CT
- Zip
- 06457-8095
- Phone Number
- 860-788-6404
- Fax Number
- 860-829-0495
License Information
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (2)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Taxonomy (4)
- Nurse Practitioner · 363L00000X
- Taxonomy (5)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Taxonomy (6)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near Charleston, WV
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- Dr. William W Harless, MD PHDInternal Medicine, Medical Oncology · NPI 1528100948
- Mrs. Emelia ConatyNurse Practitioner, Psych/Mental Health · NPI 1144078486
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Frequently Asked Questions
What is the NPI number of Meditelecare Of West Virginia PLLC?
The NPI number of Meditelecare Of West Virginia PLLC is 1235631888. It was assigned on February 28, 2018 and is currently active in the NPPES registry.
What is the specialty of Meditelecare Of West Virginia PLLC?
Meditelecare Of West Virginia PLLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).
Where does Meditelecare Of West Virginia PLLC practice?
The practice location is 5098 Washington St W Ste 407, Charleston, WV 25313-1561. The office can be reached at 860-788-6404 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235631888 directly on the NPPES registry website.