Provider Demographics
NPI:1851551204
Name:READJUSTMENT COUNSELING SERVICES
Entity Type:Organization
Organization Name:READJUSTMENT COUNSELING SERVICES
Other - Org Name:BECKLEY VET CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:TEAM LEADER
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:304-252-8220
Mailing Address - Street 1:1000 JOHNSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-4940
Mailing Address - Country:US
Mailing Address - Phone:304-252-8220
Mailing Address - Fax:304-254-8711
Practice Address - Street 1:1000 JOHNSTOWN RD
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-4940
Practice Address - Country:US
Practice Address - Phone:304-252-8220
Practice Address - Fax:304-254-8711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAP00942028104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVAP00942028OtherWV SOCIAL WORK LICENSE