Organization
UNION MISSION BEHAVIORAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY SMITH LPC (CLINICAL DIRECTOR)
(304) 550-6849
Entity
Organization
Contact information
Practice address
705 S PARK RD, CHARLESTON, WV 25304-2629
(304) 549-0366
Mailing address
PO BOX 112, CHARLESTON, WV 25321-0112
(304) 446-2336
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
484
—
WV
Enumeration date
03/09/2020
Last updated
04/18/2023
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