Provider Demographics
NPI:1679120786
Name:HOPE HILL MENTAL WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:HOPE HILL MENTAL WELLNESS CENTER LLC
Other - Org Name:PARKERSBURG PSYCHIATRIC & INTEGRATED SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL BILLER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NOWERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:681-588-0046
Mailing Address - Street 1:1809 DUPONT RD E. SUITE #1
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101
Mailing Address - Country:US
Mailing Address - Phone:304-917-3521
Mailing Address - Fax:304-917-3522
Practice Address - Street 1:1809 DUPONT RD STE 1
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-9704
Practice Address - Country:US
Practice Address - Phone:304-917-3521
Practice Address - Fax:304-917-3522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-22
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1679120786Medicaid
WV004318530OtherBCBS