NPIMap

Organization Active NPI

Laurens Wish Addiction Triage Center Inc

  • Community/Behavioral Health Agency
  • Morgantown, WV
National Provider Identifier
1336023712
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LAURENS WISH ADDICTION TRIAGE CENTER INC
Practice address
20 Scott Ave Ste 301
Morgantown, WV 26508-8857
Phone
(304) 241-4000
Fax
(304) 212-5141
NPI assigned
Jul 31, 2025
Last updated
Jul 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brandon M WiseNPI 1962386268
Title
Operations Manager
Phone
(304) 282-7632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

20 Scott Ave Ste 301
Morgantown, WV 26508-8857

Mailing address

20 Scott Ave Ste 301
Morgantown, WV 26508-8857
Phone (304) 241-4000

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2333559Lauren's Wish Addiction Triage Center, Inc20 Scott Avenue, Suite 301, Morgantown, WV 26508Certificate of waiverNov 5, 2027

National Provider Directory

National Provider Directory

Locations

20 Scott Ave
Ste 301
Morgantown, WV 26508
Phone (304) 241-4000

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1336023712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SCOTT AVE STE 301",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265088857",
            "telephone_number": "304-241-4000",
            "fax_number": "304-212-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SCOTT AVE STE 301",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265088857",
            "telephone_number": "304-241-4000",
            "fax_number": "304-212-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENS WISH ADDICTION TRIAGE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "304-282-7632",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.