BOOMTOWN MENTAL WELLNESS CENTER
NPI 1003735879
Clinic/Center - Mental Health (Including Community Mental Health Center) in Nitro, WV
About Boomtown Mental Wellness Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOOMTOWN MENTAL WELLNESS CENTER (NPI 1003735879) is a healthcare organization registered as a mental health (including community mental health center) in Nitro, West Virginia and active in the NPI registry since July 2026. The organization lists Sarah Ellen Dean, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Boomtown Mental Wellness Center's NPI number?
The NPI number for Boomtown Mental Wellness Center is 1003735879. It was assigned to this organization in the NPPES registry on July 14, 2026.
Where is Boomtown Mental Wellness Center located?
Boomtown Mental Wellness Center is located at 4002 First Avenue, Nitro, WV 25143. The listed phone number is (304) 415-1551.
What is Boomtown Mental Wellness Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
When was this NPI record last updated?
The NPPES record for Boomtown Mental Wellness Center was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Boomtown Mental Wellness Center · NPI 1003735879
Mental Health (Including Community Mental Health Center) organization in Nitro, West Virginia. Organization record, active in the CMS NPPES registry since July 14, 2026.
## Identity
- **NPI:** 1003735879 (Entity type: Organization)
- **Enumerated:** July 14, 2026
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Sarah Dean, OWNER
## Practice location
- **Address:** 4002 FIRST AVENUE, Nitro, WV 25143-2339
- **Phone:** (304) 415-1551
## Record status
- **NPPES last updated:** July 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1003735879) · Data from the CMS NPPES public registry.