Organization
APPALACHIAN COUNSELING CENTER LLC
Active
Other names
Appalachian Life Enrichment Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH ANN BLACK LPC, ALPS NCC, LCMHC (PRESIDENT)
(681) 404-6869
Entity
Organization
Contact information
Practice address
207 FAIRMONT AVE, FAIRMONT, WV 26554-2710
(681) 404-6869
(681) 404-6871
Mailing address
207 FAIRMONT AVE, FAIRMONT, WV 26554-2710
(681) 404-6869
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TS0200X
School Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/12/2019
Last updated
01/17/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us