Organization
GOOD HEART THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH BEARDSLEY MSW, LICSW (CEO/OWMER)
(304) 881-1678
Entity
Organization
Contact information
Practice address
235 HGH STREET, SUITE 311, MORGANTOWN, WV 26505
(304) 881-1678
(304) 367-9191
Mailing address
235 HGH STREET, SUITE 311, MORGANTOWN, WV 26505
(304) 881-1678
(304) 367-9191
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
DP00942941
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851688170
PERSONAL NPI
WV
Enumeration date
01/31/2017
Last updated
01/31/2017
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