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NPI Code Detail

MEDICARE: MRS. JAYCIE LEIGH BIAS MSW, LGSW

MEDICARE: MRS. JAYCIE LEIGH BIAS MSW, LGSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)BP00945839WV

General Provider Information

NPI Number : 1003498239
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JAYCIE LEIGH BIAS MSW, LGSW
Provider Business Mailing Address
First Line : 5151A STATE ROUTE 10
Second Line :
City : BARBOURSVILLE
State : WV
Zip : 25504
Country : US
Telephone Number : 740-777-3561
Fax Number :
Provider Business Practice Location Address
First Line : 1596 WASHINGTON BLVD
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-4035
Country : US
Telephone Number : 681-378-3881
Fax Number : 681-378-3887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2021
Last Update Date : 04/27/2021

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