Allie Chinyere Nwosu, MS
Individual provider Active NPI Marriage & Family Therapist · Fayetteville, WV
NPI 1982196887 · NPPES record last updated Jun 26, 2024
Key facts
- NPI
- 1982196887
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 0717002034 (VA)
- Practice address
- 89 Clay St
Fayetteville, WV 25840-5459 - Phone
- (904) 398-7015
- NPI assigned
- Jun 6, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0717002034 | VA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | FL | ||
| Marriage & Family Therapist | 106H00000X | 0717002034 | VA | Yes |
Addresses
Primary practice location
89 Clay St
Fayetteville, WV 25840-5459
Mailing address
89 Clay St
Fayetteville, WV 25840-5459
Phone (304) 894-5696
Other providers in Fayetteville, WV
- New River Health Association, Inc.
- New River Ranch Inc
- New Riverranch
- Ryan D Newell
- Debra W Nichol
- James William Odell
- Heather Rayan Pack
- Sharon Pack
- Carl Parsons
- Patrick Jarrell
All providers in Fayetteville, WV · Marriage & Family Therapist 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 Jun 26, 2024. 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.