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General NPI Number Information
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NPI Number | 1427278480
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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 | 05/01/2007
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 3375 US ROUTE 60
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City | HUNTINGTON
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State | WV
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Zip | 25705-2837
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Country | US
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Telephone | 304-525-7851
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Fax | 304-525-1073
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Provider Business Mailing Address
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Address Line | 5600 US ROUTE 60
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City | HUNTINGTON
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State | WV
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Zip | 25705-2146
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Country | US
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Telephone | 304-525-7851
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Fax | 304-525-1073
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number | 288
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License Number State | WV
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