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Organization
WINCHESTER COMMUNITY MENTAL HEALTH CENTER, INC.
Active
Organization
WINCHESTER COMMUNITY MENTAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVELYN PUIG MS, LMHC (PRESIDENT)
(540) 535-1112
Entity
Organization
Contact information
Practice address
121 N COLLEGE ST, MARTINSBURG, WV 25401
(540) 535-1112
(540) 535-1155
Mailing address
36 RICKETTS DR, WINCHESTER, VA 22601-3676
(540) 535-1112
(540) 535-1155
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1864
WV
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
WV
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/07/2010
Last updated
08/09/2018
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