Provider Demographics
NPI:1558575878
Name:WV DEPARTMENT OF EDUCATION SBHSE
Entity Type:Organization
Organization Name:WV DEPARTMENT OF EDUCATION SBHSE
Other - Org Name:OFFICE OF INSTITUTION EDUCATION PROGRAMS
Other - Org Type:Other Name
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHNACKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-558-2696
Mailing Address - Street 1:1900 KANAWHA BLVD E
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25305-0009
Mailing Address - Country:US
Mailing Address - Phone:304-558-2696
Mailing Address - Fax:304-558-3741
Practice Address - Street 1:1900 KANAWHA BLVD E
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25305-0009
Practice Address - Country:US
Practice Address - Phone:304-558-2696
Practice Address - Fax:304-558-3741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)