National Provider Identifier
Straight Gate, Inc.
Straight Gate, Inc. is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Elkins, WV and a listed phone number of (304) 317-7776.
Source: public NPPES record, last updated December 20, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1801508072
- Provider Type
- Organization
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- December 20, 2022
- Last Updated
- December 20, 2022
Practice Location
- 58 Grace Way
- Elkins, WV 26241-1194
Phone: (304) 317-7776
Authorized Official
- Name
- Mr. James Garland Wilson III
- Title
- Executive Director
- Credentials
- BA, ADC-S
- Phone
- (304) 317-7776
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Organization Overview
Straight Gate, Inc., doing business as 12-2-1 Roundtables, is an Elkins, West Virginia nonprofit focused on recovery support and faith-informed group engagement. Its Roundtables use a semi-structured, experiential format grounded in stages-of-change concepts, Alcoholics Anonymous principles, wellness dimensions, and peer sharing. Founder Jim Wilson brings decades of addiction counseling, treatment-court, community corrections, and recovery experience to the organization’s work with people facing addiction and other life-controlling issues.
Full Record
- NPI
- 1801508072
- Entity Type
- Organization
- Organization Name
- Straight Gate, Inc.
- Mailing Street Address
- 58 Grace Way
- Mailing City
- Elkins
- Mailing State
- WV
- Mailing ZIP Code
- 26241-1194
- Mailing Country
- US
- Mailing Phone
- (304) 317-7776
- Practice Street Address
- 58 Grace Way
- Practice City
- Elkins
- Practice State
- WV
- Practice ZIP Code
- 26241-1194
- Practice Country
- US
- Practice Phone
- (304) 317-7776
- Enumeration Date
- December 20, 2022
- Last Updated
- December 20, 2022
- Authorized Official Last Name
- Wilson
- Authorized Official First Name
- James
- Authorized Official Middle Name
- Garland
- Authorized Official Title
- Executive Director
- Authorized Official Phone
- (304) 317-7776
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Mr.
- Authorized Official Name Suffix Text
- III
- Authorized Official Credential Text
- BA, ADC-S
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- December 20, 2022
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)