Provider Demographics
NPI:1174798086
Name:SPRIGG, MITZI (LPC,MS,IM,CRC/CVE)
Entity type:Individual
Prefix:
First Name:MITZI
Middle Name:
Last Name:SPRIGG
Suffix:
Gender:F
Credentials:LPC,MS,IM,CRC/CVE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 MON HEALTH MEDICAL PARK DR
Mailing Address - Street 2:STE 1202
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-1143
Mailing Address - Country:US
Mailing Address - Phone:304-599-1975
Mailing Address - Fax:304-599-2705
Practice Address - Street 1:1000 MON HEALTH MEDICAL PARK DR STE 1202
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-1143
Practice Address - Country:US
Practice Address - Phone:304-599-1975
Practice Address - Fax:304-599-2705
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1883101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health