# PREMIERE MENTAL HEALTH & BEHAVIORAL MEDICINE LLC

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

## Provider details

- **NPI number:** 1073354395
- **Authorized official:** MICHAEL SKAGGS PMHNP (OWNER)
- **Authorized official phone:** (304) 786-1222

## Contact information

- **Practice address:** 600 SOUTH CHURCH ST STE 3, RIPLEY, WV 25271-1666
- **Practice address phone:** (304) 786-1222
- **Practice address fax:** (304) 786-1236
- **Mailing address:** 600 SOUTH CHURCH ST, STE 3, RIPLEY, WV 25271-1666
- **Mailing address phone:** (304) 786-1222
- **Mailing address fax:** (304) 786-1236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2024
- **Last updated:** 09/30/2024