Organization
TRUE VINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA M GOAD LPC (OWNER)
(304) 545-0033
Entity
Organization
Contact information
Practice address
3566 TEAYS VALLEY RD STE 2, HURRICANE, WV 25526-9090
(304) 545-0033
(864) 484-8751
Mailing address
3566 TEAYS VALLEY RD STE 2, HURRICANE, WV 25526-9090
(304) 545-0033
(864) 484-8751
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
12/08/2020
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