Laurel Mountain Psychological Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

968 Issued in WV

Legal business name

LAUREL MOUNTAIN PSYCHOLOGICAL INC.

Practice address

219 Brookshire LN
Beckley, WV 25801-6729

Phone

(304) 952-1193

NPI assigned

Dec 23, 2013

Organization subpart

No

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

Authorized official

Name

Lawrence Richmond

Title

Owner

Phone

(304) 952-1193

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1679994453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 BROOKSHIRE LN",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016729",
            "telephone_number": "304-952-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 BROOKSHIRE LN",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016729",
            "telephone_number": "304-952-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL MOUNTAIN PSYCHOLOGICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-952-1193"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Clayton Lane, LPC, M.ED.
• Karen Alison Lane
• Kelsea Lane
• Nakayalla Langley, PHARMD
• Kendra Lattea
• Celia Laverty, MSW, LGSW
• Tammy Laverty
• Anita Coleman Law, CRNA
• Darius Law
• Jasmine Law

• Clinical Psychologist in Beckley, WV
• Providers in Beckley, WV by specialty
• Clinical Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.