# MOUNTAIN STATE COUNSELING AND BEHAVIORAL HEALTH SERVICES

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

## Provider details

- **NPI number:** 1578236311
- **Authorized official:** ELISA MARIE MCDONALD MA, LPC (OWNER)
- **Authorized official phone:** (304) 224-5410

## Contact information

- **Practice address:** 243 THREE SPRINGS DR, WEIRTON, WV 26062-3839
- **Practice address phone:** (304) 224-5410
- **Mailing address:** 455 ELAINE ST, WEIRTON, WV 26062-3761
- **Mailing address phone:** (304) 266-0847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | Yes |
| 101YP2500X | Professional Counselor | — | — | Yes |

## Other

- **Enumeration date:** 07/28/2021
- **Last updated:** 07/28/2021