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General NPI Number Information
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NPI Number | 1407427321
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Entity Type | Organization
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Legal Business Name | WEST VIRGINIA PSYCH. SERVICES PLLC
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Dates
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Enumeration Date | 07/02/2021
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 47 WASHINGTON AVE # 168
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City | WHEELING
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State | WV
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Zip | 26003-6240
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Country | US
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Telephone | 615-334-5078
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Fax |
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Provider Business Mailing Address
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Address Line | 3593 MEDINA RD # 181
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City | MEDINA
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State | OH
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Zip | 44256-8182
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Country | US
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Telephone | 615-334-5078
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Fax |
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Authorized Official
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Title or Position | SVP
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Name | BRIAN NICHOLS
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Credential |
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Telephone | 615-334-5078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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