Healthcare Provider Details

I. General information

NPI: 1861231748
Provider Name (Legal Business Name): JADE HOOVER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2024
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 N EISENHOWER DR APT A
BECKLEY WV
25801-3109
US

IV. Provider business mailing address

516 24TH ST
OAK HILL WV
25901-2827
US

V. Phone/Fax

Practice location:
  • Phone: 304-254-9610
  • Fax:
Mailing address:
  • Phone: 304-663-1772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: