Healthcare Provider Details

I. General information

NPI: 1972433266
Provider Name (Legal Business Name): ZACHARY RONALD TALBERT MSW, LSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 E MAIN ST, BECKLEY, WV 25801
BECKLEY WV
25801
US

IV. Provider business mailing address

114 E MAIN ST, BECKLEY, WV 25801
BECKLEY WV
25801
US

V. Phone/Fax

Practice location:
  • Phone: 681-238-5238
  • Fax:
Mailing address:
  • Phone: 681-238-5238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: