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General NPI Number Information
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NPI Number | 1720863699
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Entity Type | Organization
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Legal Business Name | HUNTINGTON MENTAL HEALTH ASSOCIATES, INC.
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Dates
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Enumeration Date | 08/29/2023
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 11713 ROUTE 152 STE 1
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City | WAYNE
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State | WV
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Zip | 25570-6539
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Country | US
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Telephone | 304-523-1142
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 6TH AVE
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City | HUNTINGTON
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State | WV
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Zip | 25701-2420
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Country | US
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Telephone | 304-523-3114
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE
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Name | RACHEL BLANKENSHIP
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Credential |
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Telephone | 304-523-1142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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