# POTOMAC HIGHLANDS MENTAL HEALTH GUILD, INC.

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

## Provider details

- **NPI number:** 1114654548
- **Authorized official:** CAROL D HENDRIX (ACCOUNTS RECEIVABLE CLERK)
- **Authorized official phone:** (304) 257-1155

## Contact information

- **Practice address:** 7 MOUNTAIN VIEW ST, PETERSBURG, WV 26847-1796
- **Practice address phone:** (304) 257-1155
- **Practice address fax:** (304) 257-1945
- **Mailing address:** 7 MOUNTAIN VIEW ST, PETERSBURG, WV 26847-1796
- **Mailing address phone:** (304) 257-1155
- **Mailing address fax:** (304) 257-1945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2022
- **Last updated:** 08/05/2022