Provider Demographics
NPI:1043706484
Name:CONTEMPLATIONS BEHAVIORAL HEALTH SERVICES LTD. CO.
Entity Type:Organization
Organization Name:CONTEMPLATIONS BEHAVIORAL HEALTH SERVICES LTD. CO.
Other - Org Name:CONTEMPLATIONS COUNSELING SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:M
Authorized Official - Last Name:VAUGHN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:606-547-2262
Mailing Address - Street 1:802 OAK ST
Mailing Address - Street 2:
Mailing Address - City:KENOVA
Mailing Address - State:WV
Mailing Address - Zip Code:25530-1519
Mailing Address - Country:US
Mailing Address - Phone:304-908-1056
Mailing Address - Fax:304-400-6620
Practice Address - Street 1:802 OAK ST
Practice Address - Street 2:
Practice Address - City:KENOVA
Practice Address - State:WV
Practice Address - Zip Code:25530
Practice Address - Country:US
Practice Address - Phone:606-547-2262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-09
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2182101YP2500X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0331405Medicaid
WV1043706484Medicaid
KY71005559000Medicaid