Healthcare Provider Details

I. General information

NPI: 1689562977
Provider Name (Legal Business Name): SEED SOWER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HOWE STREET
BECKLEY WV
25801
US

IV. Provider business mailing address

100 HOWE STREET
BECKLEY WV
25801
US

V. Phone/Fax

Practice location:
  • Phone: 304-254-9935
  • Fax: 304-394-2538
Mailing address:
  • Phone: 304-254-9935
  • Fax: 304-313-4003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES MICHAEL PHILLIPS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 304-392-5222