Organization
DEVARAJ BEHAVIORAL HEALTHCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB M BOUNDS LGSW (CLINICAL DIRECTOR)
(877) 338-2725
Entity
Organization
Contact information
Practice address
412 TENNESSEE AVE, CHARLESTON, WV 25302-2338
(877) 338-2725
(304) 715-3537
Mailing address
412 TENNESSEE AVE, CHARLESTON, WV 25302-2338
(877) 338-2725
(304) 715-3537
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
12/14/2025
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