MEDICARE: PYRAMID COUNSELING LIMITED LIABILITY COMPANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101YM0800X	Mental Health Counselor	1622	WV

General Provider Information

NPI Number	:	1962546622
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PYRAMID COUNSELING LIMITED LIABILITY COMPANY

Provider Business Mailing Address
First Line	:	130 GEORGE ST # 6
Second Line	:	SUITE E - F
City	:	BECKLEY
State	:	WV
Zip	:	25801-2648
Country	:	US
Telephone Number	:	304-256-0200
Fax Number	:	304-256-0380

Provider Business Practice Location Address
First Line	:	130 GEORGE ST # 6
Second Line	:	SUITE E - F
City	:	BECKLEY
State	:	WV
Zip	:	25801-2648
Country	:	US
Telephone Number	:	304-256-0200
Fax Number	:	304-256-0380

Authorized Official
Title or Position	:	COUNSELOR
Name	:	DWAYNE FRANK MASTERS
Credential	:	MA
Telephone Number	:	304-256-0200

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	06/04/2024

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Directions to “PYRAMID COUNSELING LIMITED LIABILITY COMPANY ” Practice Location

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