Provider Demographics
NPI:1073286332
Name:BEIRNE PSYCHIATRIC & WELLNESS LLC
Entity Type:Organization
Organization Name:BEIRNE PSYCHIATRIC & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEIRNE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:304-993-6333
Mailing Address - Street 1:693 ASHLEY LN
Mailing Address - Street 2:
Mailing Address - City:SUMMERSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26651-1045
Mailing Address - Country:US
Mailing Address - Phone:304-993-6333
Mailing Address - Fax:304-688-9020
Practice Address - Street 1:693 ASHLEY LN
Practice Address - Street 2:
Practice Address - City:SUMMERSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26651-1045
Practice Address - Country:US
Practice Address - Phone:304-993-6333
Practice Address - Fax:304-688-9020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-31
Last Update Date:2021-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Single Specialty