Provider Demographics
NPI:1619466463
Name:MH PSYCHOLOGICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:MH PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:MHPS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSIA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:HARDIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:304-633-3573
Mailing Address - Street 1:125 MORRIS CT
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:WV
Mailing Address - Zip Code:25526-1453
Mailing Address - Country:US
Mailing Address - Phone:681-233-3550
Mailing Address - Fax:681-233-3551
Practice Address - Street 1:125 MORRIS CT
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:WV
Practice Address - Zip Code:25526
Practice Address - Country:US
Practice Address - Phone:304-633-3573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-08
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1017103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty