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Active NPI 1174008239 Individual Practitioner Female Practitioner

Sandra Bernadine Vance , MED, LPC, NCC

Counselor - Professional • Logan, WV

Professional Overview & Biography Verified Profile Summary

Sandra Vance, MED, LPC, NCC is a registered healthcare professional specializing in Counselor - Professional in Logan, WV. Practice services are available at 174 LMAMH CENTER ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

174 Lmamh Center Road

Logan, WV 256010176

Telephone 3047927130
Fax 3047927146
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Logan, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.3 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
9 Specialists

Practicing in Logan, WV (702 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WV 2364

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Dr. Antonio Diaz , MD

Psychiatry & Neurology - Psychiatry

NPI 1053339135

Doctor of Medicine (M.D.)

Ashton Williams

Case Manager/Care Coordinator

NPI 1083206205
Larry Fields , LICSW

Social Worker - Clinical

NPI 1104418847

Licensed Independent Clinical Social Worker

Takara Muncy

Nurse Practitioner - Family

NPI 1114671906
Ravenlou Wamsley

Peer Specialist

NPI 1134845373
Sharla Smith , PRSS

Peer Specialist

NPI 1154047066

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location February 08, 2019

Registered at 174 LMAMH CENTER ROAD, LOGAN, WV 256010176 (Tel: 3047927130)

📍
Updated Business Mailing Address February 08, 2019

Registered at 300 PROSPERITY LANE, SUITE #204, PO BOX 176, LOGAN, WV 256013743 (Tel: 3047927130)

👤
Provider Name / Credentials Updated February 08, 2019

Recorded as SANDRA VANCE, M.ED., LPC, NCC

NPI Profile Active September 25, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 25, 2018

Registered at 184 E 2ND AVE STE 210, WILLIAMSON, WV 256613602 (Tel: 3042365902)

📍
Updated Business Mailing Address September 25, 2018

Registered at PO BOX 2080, WILLIAMSON, WV 256612080 (Tel: 3042365902)

👤
Provider Name / Credentials Updated September 25, 2018

Recorded as SANDRA VANCE, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2018

Counselor (License #2364 in WV)

🟢
Initial NPI Registration & Enumeration September 25, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174008239
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2018
Last Update: February 08, 2019
Sole Proprietor: Yes

Mailing Address

300 Prosperity Lane, Suite #204, Po Box 176

Logan, WV 256013743

Phone: 3047927130

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.