Provider Demographics
NPI:1659268563
Name:A SET CHANCE
Entity type:Organization
Organization Name:A SET CHANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNR
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HUMPHREY
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:681-823-4169
Mailing Address - Street 1:191 LEKAN LN
Mailing Address - Street 2:
Mailing Address - City:OAK HILL
Mailing Address - State:WV
Mailing Address - Zip Code:25901-2191
Mailing Address - Country:US
Mailing Address - Phone:681-823-4169
Mailing Address - Fax:681-823-4169
Practice Address - Street 1:191 LEKAN LN
Practice Address - Street 2:
Practice Address - City:OAK HILL
Practice Address - State:WV
Practice Address - Zip Code:25901-2191
Practice Address - Country:US
Practice Address - Phone:681-823-4169
Practice Address - Fax:681-823-4169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty