Organization
INTENSIVE TRAUMA THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA GANTT PHD ATRBC (EXECUTIVE DIRECTOR)
(304) 291-2912
Entity
Organization
Contact information
Practice address
314 SCOTT AVENUE, MORGANTOWN, WV 26508
(304) 291-2912
(304) 291-2918
Mailing address
314 SCOTT AVENUE, MORGANTOWN, WV 26508
(304) 291-2912
(304) 291-2918
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
PC001898
PA
1041C0700X
Clinical Social Worker
DP00939059
WV
1041C0700X
Clinical Social Worker
DP00942623
WV
221700000X
Art Therapist
Primary
79001
—
Other
Enumeration date
09/14/2006
Last updated
09/11/2025
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