Organization
MOUNTAIN STATE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY SPADE (CEO)
(304) 252-9211
Entity
Organization
Contact information
Practice address
1802 HARPER RD STE 200, BECKLEY, WV 25801-3376
(304) 252-9211
Mailing address
1802 HARPER RD STE 200, BECKLEY, WV 25801-3376
(681) 238-5733
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
02/06/2020
Last updated
02/22/2022
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