Healthcare Provider Details

I. General information

NPI: 1154257699
Provider Name (Legal Business Name): JAMES ACORD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 BLAND ST
BLUEFIELD WV
24701-3062
US

IV. Provider business mailing address

525 BLAND ST
BLUEFIELD WV
24701-3062
US

V. Phone/Fax

Practice location:
  • Phone: 681-305-4528
  • Fax:
Mailing address:
  • Phone: 681-305-4528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberI407239
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: