Healthcare Provider Details

I. General information

NPI: 1285647982
Provider Name (Legal Business Name): AREA PSYCHIATRIC & PSYCHOTHERAPY GRP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 01/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 W 6TH AVE SUITE 300
HUNTINGTON WV
25701
US

IV. Provider business mailing address

10 W 6TH AVE SUITE 300
HUNTINGTON WV
25701
US

V. Phone/Fax

Practice location:
  • Phone: 304-525-9355
  • Fax: 304-522-0835
Mailing address:
  • Phone: 304-525-9355
  • Fax: 304-522-0835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DELENO H WEBB III
Title or Position: OWNER
Credential: MD
Phone: 304-525-9355