Healthcare Provider Details

I. General information

NPI: 1104973809
Provider Name (Legal Business Name): THE COUNSELING HOUSE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 EMERSON AVE
PARKERSBURG WV
26104-2526
US

IV. Provider business mailing address

911 EMERSON AVE
PARKERSBURG WV
26104-2526
US

V. Phone/Fax

Practice location:
  • Phone: 304-865-5444
  • Fax: 304-865-5445
Mailing address:
  • Phone: 304-865-5444
  • Fax: 304-865-5445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BRIAN D HARDMAN
Title or Position: AUTHORIZED OFFICIAL
Credential: FNP-C
Phone: 304-865-5444