Greenbrier Academy for Girls
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Pence Springs, WV
NPI 1154780294 · NPPES record last updated Feb 17, 2016
Key facts
- NPI
- 1154780294
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- License
- 270 (WV)
- Legal business name
- GREENBRIER ACADEMY FOR GIRLS
- Practice address
- 158 Academy Dr.
Greenbrier Academy for Girls
Pence Springs, WV 24962 - Phone
- (877) 788-8422
- NPI assigned
- Feb 17, 2016
- Organization subpart
- No
Authorized official
- Name
- Ginger Conley, LPC
- Title
- Counselor Supervisor
- Phone
- (877) 788-8422
Practitioners 8
-
Heather Bowden, M.S.W.
-
Ginger Conley, LPC
-
Kristal Evon Straub, LPC
National Provider Directory
Locations
158 Academy Dr
Pence Springs, WV 24962
Phone (304) 445-7790
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 270 | WV | Yes |
Addresses
Primary practice location
158 Academy Dr.
Greenbrier Academy for Girls
Pence Springs, WV 24962
Mailing address
158 Academy Dr.
Greenbrier Academy for Girls
Pence Springs, WV 24962
Phone (877) 788-8422
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270 | Other | WV | PROVISIONAL LICENSE |
Other providers in Pence Springs, WV
- Megan Marie Billings
- Heather Bowden
- Ginger Conley
- Todd Matthew Goodman
- Katherine Gragg
- Emily Landseidel
- Maureen Marko
- Kelley Sills
- Julie Aimee-Adele Tracy-Prieboy
All providers in Pence Springs, WV · Emotionally Disturbed Childrens' Residential Treatment Facility in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.