Organization
LOGAN PROFESSIONAL COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DALE MEADE LPC, NCC (COUNSELOR)
(304) 688-7028
Entity
Organization
Contact information
Practice address
101 DINGESS ST, LOGAN, WV 25601-3603
(304) 688-9269
(681) 495-1522
Mailing address
710 STRATTON ST, LOGAN, WV 25601-4015
(304) 688-7028
(304) 752-0733
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
02/25/2022
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