True Vine LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TRUE VINE LLC

Practice address

3566 Teays Valley Rd Ste 2
Hurricane, WV 25526-9090

Phone

(304) 545-0033

Fax

(864) 484-8751

NPI assigned

Apr 18, 2019

Organization subpart

No

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

Authorized official

Name

Linda M Goad, LPCNPI 1639444151

Title

Owner

Phone

(304) 545-0033

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda M Goad, LPC

  • Professional Counselor
  • Hurricane, WV
  • NPI 1639444151

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1467015123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3566 TEAYS VALLEY RD STE 2",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269090",
            "telephone_number": "304-545-0033",
            "fax_number": "864-484-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3566 TEAYS VALLEY RD STE 2",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269090",
            "telephone_number": "304-545-0033",
            "fax_number": "864-484-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE VINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "GOAD",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-545-0033",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Mental Health Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.