Provider Demographics
NPI:1548632425
Name:NEELY, CLAUDIA (MA, MDIV, BCABA)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:NEELY
Suffix:
Gender:F
Credentials:MA, MDIV, BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 197
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26507-0197
Mailing Address - Country:US
Mailing Address - Phone:304-906-9087
Mailing Address - Fax:304-212-7379
Practice Address - Street 1:235 HIGH ST STE 716
Practice Address - Street 2:WHOLE FAMILIES / WHOLE VETERANS, PLLC
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-5448
Practice Address - Country:US
Practice Address - Phone:304-906-9087
Practice Address - Fax:304-212-7379
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-30
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH002751103K00000X
WV1-15-20152103K00000X
WV101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst