Healthcare Provider Details

I. General information

NPI: 1942165170
Provider Name (Legal Business Name): 3MS SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4519 COAL HERITAGE RD
BLUEFIELD WV
24701-7912
US

IV. Provider business mailing address

4519 COAL HERITAGE RD
BLUEFIELD WV
24701-7912
US

V. Phone/Fax

Practice location:
  • Phone: 704-923-5958
  • Fax:
Mailing address:
  • Phone: 704-923-5958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN MARTIN
Title or Position: CEO/OWNER
Credential:
Phone: 704-923-5958