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General NPI Number Information
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NPI Number | 1740234673
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Entity Type | Organization
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Legal Business Name | SOUTHERN HIGHLANDS COMMUNITY MENTAL HEALTH CENTER, INC.
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 09/14/2011
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Provider Practice Location Address
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Address Line | 200 12TH STREET EXTENSION
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City | PRINCETON
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State | WV
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Zip | 24740-2329
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Country | US
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Telephone | 304-425-9541
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Fax | 304-431-2856
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Provider Business Mailing Address
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Address Line | 200 12TH STREET EXTENSION
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City | PRINCETON
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State | WV
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Zip | 24740-2329
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Country | US
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Telephone | 304-425-9541
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Fax | 304-431-2856
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Authorized Official
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Title or Position | CHIEF EXECUTIVE DIRECTOR
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Name | MS. JUDY L. AKERS
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Credential | MS
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Telephone | 304-818-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 019
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 019
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 019
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 019
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License Number State | WV
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 019
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License Number State | WV
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Taxonomy #6
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 019
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License Number State | WV
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Taxonomy #7
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 019
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License Number State | WV
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Taxonomy #8
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 019
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License Number State | WV
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Taxonomy #9
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0191
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License Number State | WV
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Taxonomy #10
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 019
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License Number State | WV
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Taxonomy #11
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 019
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License Number State | WV
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