Organization
RAINELLE MEDICAL CENTER, INC.
Active
Parent organization
RAINELLE MEDICAL CENTER, INC.
Other names
LEWISBURG BEHAVIORAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
RAINELLE MEDICAL CENTER, INC.
Authorized official
DEBRA J BENNETT (CREDENTIALING SPECIALIST)
(304) 438-6188
Entity
Organization
Contact information
Practice address
38378 MIDLAND TRL E STE B, CALDWELL, WV 24925-2101
(304) 520-0182
(304) 647-5373
Mailing address
176 MEDICAL CENTER DR, RAINELLE, WV 25962-1064
(304) 438-6188
(304) 647-5373
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
09/11/2024
Last updated
03/21/2025
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