Healthcare Provider Details

I. General information

NPI: 1689111452
Provider Name (Legal Business Name): GOOD HEART THERAPY SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2017
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GOOD HEART THERAPY SERVICES, PLLC 55 CODY DRIVE
POCA WV
25159-9035
US

IV. Provider business mailing address

GOOD HEART THERAPY SERVICES, PLLC 55 CODY DRIVE
POCA WV
25159-9035
US

V. Phone/Fax

Practice location:
  • Phone: 304-881-1678
  • Fax: 800-796-4730
Mailing address:
  • Phone: 304-881-1678
  • Fax: 800-796-4730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License NumberDP00942941
License Number StateWV

VIII. Authorized Official

Name: MRS. ELISABETH ANNE BEARDSLEY
Title or Position: DIRECTOR, PSYCHOTHERAPIST, CLINICAL
Credential: MSW, LICSW
Phone: 304-881-1678