Tabula Rasa, PLLC
Tabula Rasa, PLLC is a Preferred Provider Organization in Crab Orchard, West Virginia. Licensed in West Virginia. Registered with an NPI since 2017.
- Licensed in
- WV
- In the registry since
- 2017
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1296 Robert C Byrd DrCrab Orchard, WV 25827
Phone: (681) 238-5957
Fax: (681) 238-5958
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 19121 (WV) |
|---|
Record details
| NPI number | 1407396773 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kevin Blankenship — Owner · (681) 238-5957 |
| NPI enumerated | March 6, 2017 |
| Last updated in NPPES | March 6, 2017 |
| Mailing address | Po Box 415, Crab Orchard, WV 25827-0415 |