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Mr. Jeremy Andrew Nicholas
Community/Behavioral Health Agency in Summersville, West Virginia
NPI 1760251417

Jeremy Andrew Nicholas is a Community/Behavioral Health Agency based in Summersville, WV. Jeremy Andrew Nicholas practices in Summersville, WV. The NPI Number for Jeremy Andrew Nicholas is 1760251417 and holds a License No. (West Virginia).

The current practice location address for Jeremy Andrew Nicholas is 131 Wellness Dr, Summersville, WV and can be reached out via phone at 304-872-6503.

Location: 131 Wellness Dr, Summersville, WV, 26651-5402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760251417
Provider Name
Jeremy Andrew Nicholas
Credential
Provider Entity Type
Individual
Gender
Male
Address
131 Wellness Dr, Summersville, WV, 26651-5402
Phone Number
304-872-6503
Fax Number
Provider Enumeration Date
12/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
131 Wellness Dr
City
Summersville
State
West Virginia
Zip
26651-5402
Phone Number
304-872-6503
Fax Number
person
Provider Business Mailing Address Details
Address
131 Wellness Dr
City
Summersville
State
West Virginia
Zip
26651-5402
Phone Number
304-872-6503
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
(West Virginia)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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