Organization
DAMOUS PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE MICHAEL DAMOUS M.A., ED.S. (EXECUTIVE DIRECTOR)
(304) 720-3835
Entity
Organization
Contact information
Practice address
218 D ST, SOUTH CHARLESTON, WV 25303-3104
(304) 720-3835
(304) 720-3836
Mailing address
218 D ST, SOUTH CHARLESTON, WV 25303-3104
(304) 720-3835
(304) 720-3836
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
274
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000195
—
WV
Enumeration date
03/16/2007
Last updated
08/22/2020
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