DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: HUNTINGTON TREATMENT CENTER, LLC

MEDICARE: HUNTINGTON TREATMENT CENTER, LLC
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
1261QM2800XMethadone Clinic04WV
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
104OTHERWVOPIOID TREATMENT PROGRAM

General Provider Information

NPI Number : 1255349445
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUNTINGTON TREATMENT CENTER, LLC
Provider Business Mailing Address
First Line : 6183 PASEO DEL NORTE, STE 200
Second Line :
City : CARISBAD
State : CA
Zip : 92011-1155
Country : US
Telephone Number : 855-259-2288
Fax Number : 877-552-0439
Provider Business Practice Location Address
First Line : 135 4TH AVE
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-1219
Country : US
Telephone Number : 304-525-5691
Fax Number : 304-525-5693
Authorized Official
Title or Position : VP & SECRETARY
Name : BRIAN PHILLIP FARLEY
Credential :
Telephone Number : 615-861-6000
Provider Enumeration Date : 08/03/2006
Last Update Date : 08/14/2023

Similar Medicare Providers

1053276238 — TYESHA BOHANNA
Practice Location Address:
135 4TH AVE
HUNTINGTON, WV
25701-1219
Practice Phone: 304-525-9651
Practice Fax:
1760345094 — TAWANNA JEAN ELIZABETH COOPER
Practice Location Address:
135 4TH AVE
HUNTINGTON, WV
25701-1219
Practice Phone: 304-525-5691
Practice Fax:
1639390347 — ANDREA NICOLE PRITCHARD LPN
Practice Location Address:
135 4TH AVE
HUNTINGTON, WV
25701-1219
Practice Phone: 304-526-5691
Practice Fax: 304-781-1021
1962623694 — LISA ANN COPLEY LPN
Practice Location Address:
135 4TH AVE
HUNTINGTON, WV
25701-1219
Practice Phone: 304-525-5691
Practice Fax:
1548481278 — MS. NANCY ANN PRICE MA, LSW
Practice Location Address:
135 4TH AVE
HUNTINGTON, WV
25701-1219
Practice Phone: 304-525-5691
Practice Fax: 304-781-1021
1235350174 — MR. JAMES ROBERT MYERS MA, CCM
Practice Location Address:
135 4TH AVE
HUNTINGTON, WV
25701-1219
Practice Phone: 304-525-5691
Practice Fax:

Directions to “HUNTINGTON TREATMENT CENTER, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.