Healthcare Provider Details

I. General information

NPI: 1447203005
Provider Name (Legal Business Name): THE WORD HOUSE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 03/25/2020
Certification Date: 03/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 10TH ST STE 320
HUNTINGTON WV
25701-2246
US

IV. Provider business mailing address

401 10TH ST STE 320
HUNTINGTON WV
25701-2246
US

V. Phone/Fax

Practice location:
  • Phone: 304-523-9673
  • Fax: 304-523-9674
Mailing address:
  • Phone: 304-523-9673
  • Fax: 304-523-9674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number631
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number631
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number240
License Number StateWV
# 4
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number240
License Number StateWV
# 5
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number240
License Number StateWV
# 6
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number240
License Number StateWV
# 7
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number631
License Number StateWV
# 9
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number631
License Number StateWV
# 10
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number240
License Number StateWV

VIII. Authorized Official

Name: DR. MICHAEL DAVID CLAY
Title or Position: CORPORATE PRESIDENT
Credential: D. MIN., MA
Phone: 304-523-9673