Healthcare Provider Details

I. General information

NPI: 1619871555
Provider Name (Legal Business Name): CIRCLE OF CARING & SUPPORT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 WABASH AVE
PHILIPPI WV
26416-0019
US

IV. Provider business mailing address

247 DAYTON BLVD
BELINGTON WV
26250-9250
US

V. Phone/Fax

Practice location:
  • Phone: 304-457-1670
  • Fax:
Mailing address:
  • Phone: 304-641-4023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KRISTY D STALNAKER
Title or Position: SOLE MEMBER/OWNER
Credential:
Phone: 304-641-4023