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LOGAN-MINGO AREA MENTAL HEALTH, INC
NPI 1205525276
Pharmacy in Logan, WV

Active since May 04, 2023CLIA 51D2104089 · Waiver
174 LMAH CENTER RD, LOGAN, WV 25601(304) 792-7130(304) 896-5184 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2026, May 18, 2023, May 4, 2023 (3 updates tracked since 2023).

About Logan-mingo Area Mental Health, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN-MINGO AREA MENTAL HEALTH, INC (NPI 1205525276), doing business as Mountain Laurel Integrated Healthcare, is a healthcare organization registered as a pharmacy in Logan, West Virginia and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through October 26, 2027 and lists Angela L Robertson, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1205525276
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameLOGAN-MINGO AREA MENTAL HEALTH, INC
Location Address174 LMAH CENTER RDLogan, WV 25601-4058
Mailing AddressPo Box 176Logan, WV 25601-0176 · (304) 792-7130 · Fax (304) 896-5184
Phone(304) 792-7130
Fax(304) 896-5184
Organization SubpartNo
Authorized OfficialAngela L RobertsonFinance Director · (304) 792-7130
Enumeration DateMay 4, 2023
Last NPPES UpdateMarch 11, 20263 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1205525276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
174 LMAH CENTER RD, Logan, WV 25601
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Other Names 1

Doing Business AsMountain Laurel Integrated Healthcare

Other Identifiers 2

Other5059060Ncpdp
OtherSP0552603WV · Pharmacy License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2104089

Logan Mingo Area Mental Health Inc · Logan, WV
Active · expires Oct 26, 2027
CLIA Number51D2104089
Laboratory TypeBehavioral Hlth Facility
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorDonna J. Cooke
Laboratory Phone(304) 792-7130
Laboratory LocationLogan Mingo Area Mental Health Inc174 Lmamh Center Road, Logan, WV 25601
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTONIO R DIAZ JR. M.D.
Psychiatry & Neurology (Psychiatry)
174 LMAH CENTER RD
LOGAN, WV 25601
Logan County (304) 792-7130
ASHTON PAIGE WILLIAMS
Case Manager/Care Coordinator
174 LMAH CENTER RD
LOGAN, WV 25601
Logan County (304) 792-7130
LARRY CHRISTOPHER FIELDS LICSW
Social Worker (Clinical)
174 LMAH CENTER RD
LOGAN, WV 25601
Logan County (304) 792-7130
TAKARA LEEANN MUNCY
Nurse Practitioner (Family)
174 LMAH CENTER RD
LOGAN, WV 25601
Logan County (304) 792-7130
RAVENLOU WAMSLEY
Peer Specialist
174 LMAH CENTER RD
LOGAN, WV 25601
Logan County (304) 792-7130
SHARLA R SMITH PRSS
Peer Specialist
174 LMAH CENTER RD
LOGAN, WV 25601
Logan County (304) 792-7130
SHARON K. JEFFREY LGSW
Social Worker
174 LMAH CENTER RD
LOGAN, WV 25601
Logan County (304) 792-7130
LOGAN MINGO AREA MENTAL HEALTH
Clinic/Center (Health Service)
174 LMAH CENTER RD
LOGAN, WV 25601
Logan County (304) 792-7130

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 Logan-Mingo Area Mental Health, Inc's NPI number?

The NPI number for Logan-Mingo Area Mental Health, Inc is 1205525276. It was assigned to this organization in the NPPES registry on May 4, 2023. The provider is doing business as Mountain Laurel Integrated Healthcare.

Where is Logan-Mingo Area Mental Health, Inc located?

Logan-Mingo Area Mental Health, Inc is located at 174 Lmah Center Rd, Logan, WV 25601. The listed phone number is (304) 792-7130.

What is Logan-Mingo Area Mental Health, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Logan-Mingo Area Mental Health, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2104089) is associated with this NPI, valid through October 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Logan-Mingo Area Mental Health, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 35 other insurers list Logan-Mingo Area Mental Health, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Logan-Mingo Area Mental Health, Inc was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.