Healthcare Provider Details

I. General information

NPI: 1649969338
Provider Name (Legal Business Name): NATHAN ALTMAN MA, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2023
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 HIGH ST STE 816
MORGANTOWN WV
26505-5448
US

IV. Provider business mailing address

235 HIGH ST STE 816
MORGANTOWN WV
26505-5448
US

V. Phone/Fax

Practice location:
  • Phone: 304-758-3552
  • Fax: 304-999-4374
Mailing address:
  • Phone: 304-758-3552
  • Fax: 304-999-4374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2953
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: