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Country Roads Healthcare, Llc
Psychiatric/Mental Health Nurse Practitioner in Sophia, West Virginia
NPI 1821849274

Country Roads Healthcare, Llc is a Psychiatric/Mental Health Nurse Practitioner based in Sophia, WV and is specialized in Psychiatric/Mental Health. Country Roads Healthcare, Llc practices in Sophia, WV. The NPI Number for Country Roads Healthcare, Llc is 1821849274 and holds a License No. (West Virginia).

The current practice location address for Country Roads Healthcare, Llc is 833 Robert C Byrd Dr, Sophia, WV and can be reached out via phone at 304-578-6355.

Location: 833 Robert C Byrd Dr, Sophia, WV, 25921-1288
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821849274
Provider Name
Country Roads Healthcare, Llc
Credential
Provider Entity Type
Organization
Address
833 Robert C Byrd Dr, Sophia, WV, 25921-1288
Phone Number
304-578-6355
Fax Number
Provider Enumeration Date
04/01/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
833 Robert C Byrd Dr
City
Sophia
State
West Virginia
Zip
25921
Phone Number
304-578-6355
Fax Number
person
Provider Business Mailing Address Details
Address
833 Robert C Byrd Dr
City
Sophia
State
West Virginia
Zip
25921
Phone Number
304-578-6355
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
()
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 4
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
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.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 7
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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