DAMOUS PSYCHOLOGICAL SERVICES PLLC - NPI 1457485898 - Clinic/Center in South Charleston, WV

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

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About Damous Psychological Services Pllc NPPES

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

DAMOUS PSYCHOLOGICAL SERVICES PLLC (NPI 1457485898) is a healthcare organization registered as a mental health (including community mental health center) in South Charleston, West Virginia and active in the NPI registry since March 2007. The organization lists George Michael Damous, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1457485898

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameDAMOUS PSYCHOLOGICAL SERVICES PLLC

Location Address218 D STSouth Charleston, WV 25303-3104

Mailing Address218 D StSouth Charleston, WV 25303-3104 · (304) 720-3835 · Fax (304) 720-3836

Phone(304) 720-3835

Fax(304) 720-3836

Organization SubpartNo

Authorized OfficialGeorge Michael DamousExecutive Director · (304) 720-3835

Enumeration DateMarch 16, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1457485898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

License✔ Licensed in WV · 274

218 D ST, South Charleston, WV 25303

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Other Identifiers 1

Medicaid3810000195WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Other Providers at the Same Location NPPES 10

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

MR. HENRY R BUSSEY M.A.

Psychologist