# NOAH MEDICAL WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053063040
- **Authorized official:** HIMAN BHATIA (CEO)
- **Authorized official phone:** (304) 599-1680

## Contact information

- **Practice address:** 1400 SARATOGA AVE, MORGANTOWN, WV 26505-3116
- **Practice address phone:** (304) 599-1680
- **Mailing address:** 1400 SARATOGA AVE, MORGANTOWN, WV 26505-3116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | Yes |
| 101YP2500X | Professional Counselor | — | — | Yes |
| 175T00000X | Peer Specialist | — | NULL | — |
| 175T00000X | Peer Specialist | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 01/21/2022
- **Last updated:** 02/11/2022