Organization
WORTHINGTON MENTAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY S WILSON DSN, C, CNS (PRESIDENT)
(304) 485-5185
Entity
Organization
Contact information
Practice address
3194 CORE RD, PARKERSBURG, WV 26104-1556
(304) 485-0082
(304) 485-1373
Mailing address
3199 CORE RD, PARKERSBURG, WV 26104-1557
(304) 485-5185
(304) 485-5185
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004037
—
WV
Enumeration date
11/06/2006
Last updated
08/22/2020
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