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Coalfield Family Services, PLLC

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Fort Gay, WV

NPI 1508540303 · NPPES record last updated Jun 12, 2023

Key facts

NPI
1508540303
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name
COALFIELD FAMILY SERVICES, PLLC
Practice address
20824 Route 52
Fort Gay, WV 25514-7074
Phone
(304) 648-7100
NPI assigned
Jun 12, 2023
Organization subpart
No

Authorized official

Name
Danny Ernest Jude Jr., LICSW
Title
Owner
Phone
(304) 648-7100

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 10

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

National Provider Directory

Tax ID family
Coalfield Family Services (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Yes

Addresses

Primary practice location

20824 Route 52
Fort Gay, WV 25514-7074

Mailing address

20824 Route 52
Fort Gay, WV 25514-7074
Phone (304) 648-7100

Other names

  • Coalfield Family Services Doing business as

Other providers in Fort Gay, WV

All providers in Fort Gay, WV · Mental Health Clinic/Center (Including Community Mental Health Center) in West Virginia

Sources for this page

Verify at the official NPI Registry.