| Damous Psychological Services Pllc | |
|
218 D St South Charleston WV 25303-3104 | |
| (304) 720-3835 | |
| (304) 720-3836 |
| Full Name | Damous Psychological Services Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 218 D St, South Charleston, West Virginia |
| Authorized Official Name and Position | George Michael Damous (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3047203835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Damous Psychological Services Pllc 218 D St South Charleston WV 25303-3104 Ph: (304) 720-3835 | Damous Psychological Services Pllc 218 D St South Charleston WV 25303-3104 Ph: (304) 720-3835 |
| NPI Number | 1457485898 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457485898 | NPI | - | NPPES |
| 3810000195 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 274 (West Virginia) | Primary |
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