Provider Demographics
NPI:1275247660
Name:CONTEMPLATIONS BEHAVIORAL HEALTH SERVICES LTD. CO.
Entity Type:Organization
Organization Name:CONTEMPLATIONS BEHAVIORAL HEALTH SERVICES LTD. CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:ISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-942-7897
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:
Practice Address - Street 1:802 OAK ST
Practice Address - Street 2:
Practice Address - City:KENOVA
Practice Address - State:WV
Practice Address - Zip Code:25530-1519
Practice Address - Country:US
Practice Address - Phone:304-908-1056
Practice Address - Fax:304-400-6620
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONTEMPLATIONS BEHAVIORAL HEALTH SERVICES LTD. CO.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1043706484Medicaid