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General NPI Number Information
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NPI Number | 1356336903
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Entity Type | Organization
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Legal Business Name | PRESTERA CENTER FOR MENTAL HEALTH SERVICES INC
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 99 CRACKER BARREL DR STE 100
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1650
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Country | US
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Telephone | 304-525-7851
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Fax | 304-697-1251
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Provider Business Mailing Address
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Address Line | 99 CRACKER BARREL DR STE 100
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1650
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Country | US
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Telephone | 304-525-7851
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Fax | 304-697-1251
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | LISA IRENE ZAPPIA
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Credential | MBA, MA, NCC, LPC
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Telephone | 304-399-7760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 288
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 289
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | WV
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