Organization
MUSTARD SEED COUNSELING AND BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA JEAN PHARES PMHNP (OWNER)
(304) 400-4068
Entity
Organization
Contact information
Practice address
428 LEON SULLIVAN WAY, CHARLESTON, WV 25301-1713
(304) 400-4068
(304) 400-4069
Mailing address
PO BOX 694, HURRICANE, WV 25526-0694
(304) 409-8128
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
05/09/2024
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