Provider Demographics
NPI:1205396272
Name:E-COUNSELING WV, LLC
Entity Type:Organization
Organization Name:E-COUNSELING WV, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, AADC, CTT
Authorized Official - Phone:681-214-8709
Mailing Address - Street 1:309 CLEVELAND AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-1663
Mailing Address - Country:US
Mailing Address - Phone:681-214-8709
Mailing Address - Fax:
Practice Address - Street 1:309 CLEVELAND AVE STE 210
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554-1663
Practice Address - Country:US
Practice Address - Phone:681-214-8709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-25
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health