Organization
FAMILY CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA JONES (FISCAL DIRECTOR)
(304) 723-3423
Entity
Organization
Contact information
Practice address
2436 PENNSYLVANIA AVE, WEIRTON, WV 26062-3641
(304) 723-3423
(304) 723-3426
Mailing address
2436 PENNSYLVANIA AVE, WEIRTON, WV 26062-3641
(304) 723-3423
(304) 723-3426
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001709673
BLUE CROSS/BLUE SHIELD
WV
05
—
0023528000
—
WV
05
—
0023528001
—
WV
05
—
0023528002
—
WV
Enumeration date
09/20/2006
Last updated
08/22/2020
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