Organization
SOUTHERN HIGHLANDS COMMUNITY MENTAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY L AKERS (CHIEF EXECUTIVE OFFICER)
(304) 425-9541
Entity
Organization
Contact information
Practice address
200 12TH STREET EXT, PRINCETON, WV 24740-2329
(304) 425-9541
(304) 487-6199
Mailing address
200 12TH STREET EXT, PRINCETON, WV 24740-2329
(304) 425-9541
(304) 487-6199
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
019
WV
101YA0400X
Addiction (Substance Use Disorder) Counselor
019
WV
101YM0800X
Mental Health Counselor
019
WV
101YP2500X
Professional Counselor
019
WV
103TC0700X
Clinical Psychologist
019
WV
103TC1900X
Counseling Psychologist
019
WV
103TM1800X
Intellectual & Developmental Disabilities Psychologist
019
WV
1041C0700X
Clinical Social Worker
019
WV
106H00000X
Marriage & Family Therapist
019
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005489000
—
WV
05
—
0005489001
—
WV
05
—
0005489002
—
WV
Enumeration date
01/04/2012
Last updated
01/04/2012
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