Organization
WINCHESTER COMMUNITY MENTAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVELYN PUIG MS, LMHC (PRESIDENT)
(540) 535-1112
Entity
Organization
Contact information
Practice address
121 N COLLEGE ST, MARTINSBURG, WV 25401
(540) 535-1112
(540) 535-1155
Mailing address
36 RICKETTS DR, WINCHESTER, VA 22601-3676
(540) 535-1112
(540) 535-1155
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1864
WV
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
WV
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/07/2010
Last updated
08/09/2018
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