=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538014816
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BEHAVIORAL HEALTH URGENT CARE AND TRIAGE CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/02/2026
-----------------------------------------------------
Last Update Date | 03/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2333 MACCORKLE AVE STE 100
-----------------------------------------------------
City | SAINT ALBANS
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 25177-2073
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-301-6330
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2333 MACCORKLE AVE STE 100
-----------------------------------------------------
City | SAINT ALBANS
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 25177-2073
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-301-6330
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | WESLEY WOOD
-----------------------------------------------------
Credential | MA, AADC
-----------------------------------------------------
Telephone | 304-301-6303
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------