Master Vendor Directory - WV Division of Rehabilitation Services
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CRP Vendor Directory FEIN xxx‐xx‐9473 Andrea Dulaney Mailing Address 180 Valley Way Weirton WV 26062 Profit NonProfit P County Hancock Executive Director Andrea Dulaney Contact Name Director Email adulaney@k12.wv.us Contact Email Phone 304‐723‐4153 Waiver Provider N Fax Cell Counselor Jennifer Meeker Services Community Based Assessment, Extended Assessment, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Brooke, Hancock Miscellaneous ARC of Harrison County FEIN 31‐1010792 Mailing Address PO Box 764 Clarksburg Profit NonProfit NP WV 26302 County Harrison Executive Director Greg Raber Contact Name Judy D. Greathouse Director Email garaber@arc‐hc.com Contact Email arcvoc@yahoo.com Phone 304‐624‐3641 e Cell Waiver Provider Y Fax 304‐624‐3802 e Counselor Clara Fortier Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Doddridge, Harrison, Lewis, Marion, Taylor Miscellaneous Wednesday, August 20, 2014 Page 1 of 30 Autism Services Center, Inc. FEIN 55‐0603326 Mailing Address P.O. Box 507, 929 4th Avenue County Cabell Huntington WV 25710 Profit NonProfit NP Executive Director Mike Grady Contact Name Tracy Vaughn Director Email mike@autismwv.org Contact Email tracy@autismwv.org Phone 304‐525‐8014 Waiver Provider Y Fax 304‐522‐0013 Cell Counselor Mary Klein Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Supported Employment, Waiver Provider, Work Skills Assessment Counties Served Cabell, Lincoln, Mason, Wayne Miscellaneous Avenues Unlimited of the Eastern Panhandle, Inc. FEIN 27‐3299202 Mailing Address 217 Patrick Place Berkeley WV 25411 Profit NonProfit NP County Berkeley Executive Director Larry Searcy Contact Name Director Email llsearcy@gmail.com Contact Email Phone 304‐867‐9429 Waiver Provider N Fax 866‐816‐1691 Cell Counselor Jim Floyd Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching Counties Served Berkeley, Jefferson, Morgan Miscellaneous Behavioral Health Solutions, LLC FEIN 20‐1561360 Mailing Address 700 6th Avenue St. Albans WV 25177 Profit NonProfit P County Kanawha Executive Director Sam Walker‐Matthews Contact Name Yolinda Moore Director Email samwm@bhswv.com Contact Email yogimo@bhswv.com Phone 304‐727‐9768 Cell Waiver Provider Y Fax 304‐727‐9769 Counselor Veronica Bunch Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Boone, Cabell, Clay, Kanawha, Lincoln, Logan, Putnam, Roane Miscellaneous Wednesday, August 20, 2014 Page 2 of 30 Betty Ellis FEIN xxx‐xx‐5580 Mailing Address 433 Ivy Road Davisville Profit NonProfit P County Wood WV 26142 Executive Director Betty Ellis Contact Name Director Email Contact Email bellis12@frontier.com Phone 304‐893‐3349 Waiver Provider N Fax Cell Counselor Karen Empfield Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Wood Miscellaneous Bright Horizons (Nicholas County Sheltered Workshop) FEIN 55‐0578723 Mailing Address PO Box 730 Craigsville Profit NonProfit NP County Nicholas WV 26205 Executive Director Jennifer Bennett Contact Name Nancy Ramsey Director Email jennbenn33@gmail.com Contact Email nancy.ramsey@hotmail.com Phone 304‐742‐6202 Waiver Provider Y Fax 304‐742‐6280 Cell Counselor Mark McClung Services Community Based Assessment, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Skills Assessment Counties Served Braxton, Fayette, Nicholas, Webster Miscellaneous Brooke County Opportunity Center (Healthways Inc) FEIN 55‐0524964 Mailing Address 71 22nd Street Wellsburg WV 26070 Profit NonProfit NP County Brooke Executive Director Ms. Terry Stemple Contact Name Director Email tstemple@healthwaysinc.com Contact Email adm@healthwaysinc.com Phone 304‐7372859 Cell Waiver Provider Y Fax 304‐2951 Counselor Debbie Williams Services Extended Supported Employment Services Counties Served Brooke, Hancock Miscellaneous Wednesday, August 20, 2014 Page 3 of 30 Buckhannon‐Upshur Work Adjustment Center, Inc. FEIN 55‐0560819 Mailing Address 211 Little Sand Run Road Buckhannon WV 26201 Profit NonProfit NP County Upshur Executive Director LeRoy E. Dixon, Jr. Contact Name Director Email upshurwac@frontier.com Contact Email Phone 304‐472‐4678 Waiver Provider N Fax 304‐472‐4712 Cell Counselor Olivia Zivney Services Community Based Assessment, Direct Placement, Extended Assessment, Job Coaching, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Barbour, Lewis, Upshur Miscellaneous Cabell‐Huntington Coalition for the Homeless FEIN 55‐0675038 Mailing Address 627 Fourth Avenue Huntington WV 25701 Profit NonProfit NP County Cabell Executive Director Robert Hansen Contact Name Richard Powers Director Email ch.amanda.coleman@gmail.co Contact Email 022256rjp@gmail.com Phone 304‐523‐2764 Cell 304‐751‐6674 Waiver Provider N Fax 304‐523‐3368 Counselor Rexanna Shumaker Services Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Cabell Miscellaneous Career Solutions FEIN 27‐0490065 Mailing Address P. O. Box 232 Nettie Profit NonProfit P County Nicholas WV 26681 Executive Director Juanita S. Farley Contact Name Director Email jfarleycareersolutions@yahoo.c Contact Email Phone 304‐880‐0242 Cell Waiver Provider N Fax Counselor Jonna Windon Services Community Based Assessment, Direct Placement, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Work Skills Assessment Counties Served Nicholas Miscellaneous Wednesday, August 20, 2014 Page 4 of 30 Clay County Services Unlimited, Inc. FEIN 55‐0773478 Mailing Address 13072 Clay Highway Lizemores WV 25125 Profit NonProfit NP County Clay Executive Director Josh Shamblin Contact Name Director Email claycoservicesunlimited@fronti Contact Email Phone 304‐587‐7852 Waiver Provider N Fax 304‐587‐7854 Cell Counselor Renee Reedy Services Direct Placement, Extended Assessment, Life Skills ERS, Work Adjustment ERS, Work Skills Assessment Counties Served Braxton, Calhoun, Clay, Fayette, Nicholas, Roane Miscellaneous Daily Companions, Inc. FEIN 20‐0481670 Mailing Address 430 Randolph Street Martinsburg WV 25401 Profit NonProfit P County Berkeley Waiver Provider Y Executive Director Lee Cloughfeather Contact Name Phil Mummert Director Email l.cloughfeather@dailcompanio Contact Email p.mummert@dailycompanionsinc.com Fax 304‐260‐0140 Phone 304‐260‐0111 Cell Counselor Lorie Mattson Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider Counties Served Berkeley, Jefferson, Morgan Miscellaneous Developmental Center & Workshop, Inc. FEIN 55‐0527698 Mailing Address 50 Clary Street Keyser WV 26726 Profit NonProfit NP County Hampshire Executive Director Annette Francis Contact Name Director Email dcandw@frontier.com Contact Email Phone 304‐788‐3046 Cell Waiver Provider Y Fax 304‐788‐4745 Counselor Bridgette Kady Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Berkeley, Grant, Hampshire, Hardy, Mineral Miscellaneous Wednesday, August 20, 2014 Page 5 of 30 DS Supported Employment FEIN xxx‐xx‐4755 Mailing Address P.O. Box 322 Petersburg Profit NonProfit NP County Grant WV 26847 Executive Director Debra Strother Contact Name Director Email dstrotheremploy@yahoo.com Contact Email Phone 304‐851‐0383 Waiver Provider N Fax Cell Counselor Christie DeLauney Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Berkeley, Morgan Miscellaneous EastRidge Health Systems FEIN 23‐7116164 Mailing Address 235 South Water Street Martinsburg WV 25401 Profit NonProfit NP County Berkeley Executive Director Paul Macom Contact Name Terry L. Wilkinson Director Email pmacom@eastridgehs.org Contact Email twilkinson@eastridgehs.org Phone 304‐263‐8954 Waiver Provider Y Fax 304‐264‐0763 Cell Counselor Lorie Mattson Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Supported Employment, Waiver Provider, Work Adjustment ERS Counties Served Berkeley, Jefferson, Morgan Miscellaneous Terry Wilkinson 270 Cumbo Road Martinsburg, WV 25403 304‐754‐7921 Eastridge Health Systems Satellite ‐ N.B. Groves Center FEIN Mailing Address 270 Cumbo Road Martinsburg WV 25403 Profit NonProfit County Berkeley Executive Director Contact Name Terry L. Wilkinson Director Email Contact Email twilkinson@eastridgehs.org Phone 304‐754‐7921 Cell Waiver Provider Y Fax 754‐7312 Counselor Lorie Mattson Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Supported Employment, Waiver Provider, Work Adjustment ERS Counties Served Berkeley, Jefferson, Morgan Miscellaneous Wednesday, August 20, 2014 Page 6 of 30 Eastridge Health Systems Satellite ‐ Morgan County Center FEIN Mailing Address 89 Sugar Hollow Road Berkeley WV 25411 Profit NonProfit County Morgan Waiver Provider Executive Director Contact Name Rhonda Hite, MR DD Director Director Email Contact Email rhite@eastridgehs.org Phone 304‐258‐2889 Y Fax 304‐258‐2903 Cell Counselor Lorie Mattson Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Supported Employment, Waiver Provider, Work Adjustment ERS Counties Served Berkeley, Jefferson, Morgan Miscellaneous Empowerment Through Employment, Inc. FEIN 55‐0158001 Mailing Address 1430 Cost Avenue Stonewood WV 26301 Profit NonProfit NP County Harrison Executive Director Janniece Sleigh Contact Name Director Email jryanh.c.s.w@gmail.com Contact Email Phone 304‐623‐3757 Waiver Provider Y Fax 304‐623‐3758 Cell Counselor Clara Fortier Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Barbour, Doddridge, Grant, Hardy, Harrison, Lewis, Marion, Taylor Miscellaneous Foundation for Independent Living FEIN 55‐0717488 Mailing Address 821 Fourth Avenue Huntington WV 25701 Profit NonProfit NP County Cabell Executive Director Anne O. Weeks Contact Name Director Email aoweeks@mtstcil.org Contact Email Phone 304‐525‐3324 Cell Waiver Provider N Fax 304‐525‐3360 Counselor Barbara Riffle Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Cabell, Lincoln, Mason, Wayne Miscellaneous Wednesday, August 20, 2014 Page 7 of 30 Foundation for Independent Living, Inc. Satellite ‐ Beckley FEIN 55‐0717488 Mailing Address 329 Prince Street Beckley WV 25801 Profit NonProfit NP County Raleigh Executive Director Anne O. Weeks Contact Name Ken Harer Director Email aoweeks@mtstcil.org Contact Email kharer@mtstcil.org Phone 304‐255‐0122 Waiver Provider N Fax 304‐255‐0157 Cell Counselor Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Fayette, Raleigh Miscellaneous Futures Vocational & Rehabilitation Services, Inc. FEIN 31‐1542926 Mailing Address P.O. Box 232 Nettie Profit NonProfit P County Nicholas WV 26681 Executive Director James E. Farley, Jr. Contact Name Director Email jfarleyfuturesvoc@yahoo.com Contact Email Phone 304‐880‐0242 Waiver Provider N Fax Cell Counselor Jonna Windon Services Community Based Assessment, Direct Placement, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment Counties Served Nicholas Miscellaneous Gateway Industries, Inc. FEIN 55‐0590745 Mailing Address 299 East Edgar Avenue Ronceverte WV 24970 Profit NonProfit NP County Greenbrier Executive Director Phyllis Cantrell Contact Name Director Email phyllis@gatewayind.com Contact Email Phone 304‐645‐3165 Cell 304‐667‐7891 3 Waiver Provider N Fax 304‐645‐3193 Counselor Nancy Harris Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Greenbrier, Monroe, Pocahontas Miscellaneous Wednesday, August 20, 2014 Page 8 of 30 Goodwill Industries of Greater Cleveland and East Central Ohio, Inc. FEIN 34‐0909974 Mailing Address 408 Ninth St., SW (Billing Address) County Canton, OH 44707 Profit NonProfit N Waiver Provider N Executive Director Kara Bhakuni Contact Name Linda Dowling Director Email kbhakuni@goodwillgoodskills.o Contact Email ldowling@goodwillgoodskills.org Fax 330‐445‐1066 Phone 330‐312‐6670 Cell Counselor Services Community Based Assessment, Direct Placement, Job Coaching, Work Adjustment ERS, Work Skills Assessment Counties Served Brooke, Hancock Miscellaneous 103 Main Street (Local Address) Wintersville, OH 43953 Goodwill Industries of Kanawha Valley, Inc. FEIN 55‐0380828 Mailing Address 215 Virginia Street, West Charleston WV 25302 Profit NonProfit NP County Kanawha Executive Director Cheri Bever Contact Name John Taylor Director Email cbever@goodwillkv.com Contact Email jtaylor@goodwillkv.com Phone 304‐346‐0811 Waiver Provider N Fax 304‐346‐0815 Cell Counselor Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Boone, Braxton, Clay, Fayette, Greenbrier, Jackson, Kanawha, Logan, McDowell, Mercer, Monroe, Nicholas, Pocahontas, Putnam, Raleigh, Roane, Summers, Wood, Wyoming Miscellaneous Goodwill Industries of KYOWVA Area, Inc. FEIN 23‐7374240 Mailing Address PO Box 7365 Huntington Profit NonProfit NP County Cabell WV 25776 Executive Director Alissa Stewart Contact Name Geoffrey Lane Director Email astewart@goodwillhunting.org Contact Email glayne@goodwillhunting.org Phone 304‐525‐7034 Cell Waiver Provider N Fax 304‐525‐7038 Counselor Clint Poston Services Direct Placement, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Cabell, Lincoln, Mason, Mingo, Wayne Miscellaneous 1102 memorial Boulevard Huntington, WV 25704 (physical address) Wednesday, August 20, 2014 Page 9 of 30 Goodwill of Southwestern PA & N Central WV FEIN 25‐1098928 Mailing Address 40 Connellsville Street Uniontown, PA 15401 Profit NonProfit NP County Waiver Provider N Executive Director Amy Kacmar Contact Name Elaine M. Swaney Director Email amy.kacmar@goodwillswpa.or Contact Email elaine.swaney@goodwillswpa.org Fax 724‐437‐9865 Phone 724‐437‐9878 Cell Counselor Linda Lutman Services Community Based Assessment, Direct Placement, Extended Assessment, Job Coaching, Supported Employment, Work Adjustment ERS Counties Served Miscellaneous Goodwill of Southwestern PA & N Central WV Satellite ‐ Morgantown FEIN Mailing Address 1954 Hunters Way Morgantown WV 26505 Profit NonProfit NP County Waiver Provider Executive Director Contact Name John Chambers Director Email Contact Email john.chambers@goodwillswpa.org Fax Phone 304‐225‐0105 Cell Counselor Linda Lutman Services Community Based Assessment, Direct Placement, Extended Assessment, Job Coaching, Supported Employment, Work Adjustment ERS Counties Served Miscellaneous Green Acres Regional Center, Inc. FEIN 55‐0517762 Mailing Address PO Box 240 Lesage Profit NonProfit NP County Cabell WV 25537 Executive Director Debbie Birthisel Contact Name Devin Slone Director Email birthisel2@yahoo.com Contact Email devinslone@yahoo.com Phone 304‐762‐2522 Cell Waiver Provider N Fax 304‐762‐2862 Counselor Services Direct Placement, Extended Supported Employment Services, Job Coaching Counties Served Cabell, Lincoln, Mason, Wayne Miscellaneous Wednesday, August 20, 2014 Page 10 of 30 Hampshire County Special Services Center, Inc. FEIN 55‐0611876 Mailing Address 9 Industrial Boulevard Romney WV 26757 Profit NonProfit NP County Hampshire Executive Director Kevin Sanders Contact Name Director Email kevin.ed@frontiernet.net Contact Email Phone 304‐822‐7062 o Waiver Provider Y Fax 304‐822‐7007 o Cell Counselor Sherri Faulk Services Community Based Assessment, Direct Placement, Extended Assessment, Job Coaching, Life Skills ERS, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Hampshire, Mineral Miscellaneous Hancock County Sheltered Workshop, Inc. FEIN 55‐0487462 Mailing Address 1100 Pennsylvania Avenue Weirton WV 26062 Profit NonProfit NP County Hancock Executive Director Michael Hagg Contact Name Director Email mbhagg@comcast.net Contact Email Phone 304‐748‐2370 Waiver Provider Y Fax 304‐748‐3910 Cell Counselor Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Brooke, Hancock Miscellaneous Horizon Goodwill Industries, Inc. FEIN 52‐0660403 Mailing Address 14515 Pennsylvania Avenue Hagerstown, MD 21742 Profit NonProfit NP County Executive Director Craig MacLean Contact Name Brianne Frazier April Scott Director Email cmaclean@goodwill‐hgi.org Contact Email bfrazier@goodwill‐hgi.org Phone 301‐733‐7330 Cell Waiver Provider N Fax 301‐739‐7144 Counselor Kay Privitera Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Grant, Hampshire, Hardy, Mineral, Morgan Miscellaneous Wednesday, August 20, 2014 Page 11 of 30 Horizon Goodwill Industries, Inc. Satellite ‐ Cumberland, MD FEIN 52‐0660403 Mailing Address 12000 Upper Potomac Industrial Park County Cumberland 21502 Profit NonProfit NP Executive Director Craig MacLean Contact Name Charley Briskey Director Email cmaclean@goodwill‐hgi.org Contact Email Cbriskey@goodwill‐hgi.org Phone 301‐729‐9404 Waiver Provider Y Fax 301‐729‐9409 Cell Counselor Bridgette Kady Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Hampshire, Mineral, Morgan Miscellaneous Horizon Goodwill Industries, Inc. Satellite ‐ Martinsburg FEIN 52‐0660403 Mailing Address 100 Eagle School Road Martinsburg WV 25401 Profit NonProfit NP County Berkeley Executive Director Craig M. MacLean Contact Name April Scott Director Email cmaclean@goodwill‐hgi.org Contact Email ascott@goodwill‐hgi.org Phone 304‐267‐3177 Waiver Provider Y Fax 304‐267‐2603 Cell Counselor Bonnie Mason Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Berkeley, Grant, Hardy, Jefferson, Morgan Miscellaneous Human Resource Development Foundation FEIN 55‐0516532 Mailing Address #19 Putnam Village Shopping Center County Kanawha Teays Valley WV 25569 Profit NonProfit NP Waiver Provider Executive Director Phillip Leinbach Contact Name Tabetha Marcum, Prog. Coor. Director Email hrd@hrdfwv.org Contact Email tmarcum@hrdfwv.org Phone 304‐523‐9802 Cell N Fax 304‐523‐9803 Counselor Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Cabell, Kanawha, Putnam Miscellaneous Wednesday, August 20, 2014 Page 12 of 30 Integrated Resources, Inc. FEIN 55‐0517654 Mailing Address P O Box 835 Mullens Profit NonProfit NP County Wyoming WV 25882 Executive Director Earl D. Smith Contact Name Lesa Morgan Director Email esmith@mountainheartwv.org Contact Email lmorgan@int‐res‐inc.com Phone 304‐294‐5610 Waiver Provider Y Fax 304‐294‐5617 Cell Counselor Evangeline Reed Services Community Based Assessment, Direct Placement, Extended Assessment, Job Coaching, Life Skills ERS, Work Adjustment ERS, Work Skills Assessment Counties Served Boone, Fayette, Logan, McDowell, Mercer, Mingo, Raleigh, Summers Miscellaneous Jackson County Developmental Center, Inc. FEIN 55‐0598714 Mailing Address 270 Jack Burlingame Drive Millwood WV 25262 Profit NonProfit NP County Roane Executive Director Craig A. Greening Contact Name Robert Bonar Director Email cgreening@jcdcworks.com Contact Email rbonar@jcdcworks.com Phone 304‐273‐9311 Waiver Provider Y Fax 304‐273‐5131 Cell Counselor Sandy Griffith Betty Parsons Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Jackson, Mason, Roane, Wirt, Wood Miscellaneous Jackson County Developmental Center, Inc. Satellite ‐ Parkersburg/Pt Ple FEIN 55‐0598714 Mailing Address 709 Division St., Suite 4 Parkersburg WV 26101 Profit NonProfit NP County Wood Executive Director Craig Greening Contact Name Robert Bonar Director Email Contact Email rbonar@jcdcworks.com Phone 304‐273‐9311 Cell Waiver Provider Y Fax Counselor Marsha Spiker, Belinda Fetty Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Wirt, Wood Miscellaneous Wednesday, August 20, 2014 Page 13 of 30 Job Squad, Inc. FEIN 55‐0651494 Mailing Address 102 Second Street Bridgeport WV 26330 Profit NonProfit NP County Harrison Executive Director Brenda Hellwig Contact Name Denise Jenkins Director Email bhellwig@jobsquadinc.org Contact Email djenkins@iobsquadinc.org Phone 304‐848‐0850 Waiver Provider Y Fax 304‐848‐0851 Cell Counselor Kathryn Beverly Services Community Based Assessment, Direct Placement, Extended Supported Employment Services, Job Coaching, Supported Employment, Waiver Provider, Work Adjustment ERS Counties Served Barbour, Clay, Doddridge, Harrison, Kanawha, Lewis, Marion, Monongalia, Preston, Randolph, Taylor, Upshur Miscellaneous Kenneth R. Mattson (Ameriworkscrp) FEIN xxx‐xx‐2022 Mailing Address 587 Tabler Station Road Inwood WV 25428 Profit NonProfit P County Berkeley Executive Director Kenneth Mattson Contact Name Director Email Contact Email ameriworkscrp@aol.com Phone 304‐582‐5716 Waiver Provider N Fax Cell Counselor Anna Davis Services Community Based Assessment, Direct Placement, Extended Supported Employment Services, Job Coaching, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Berkeley, Jefferson, Morgan Miscellaneous Lillian James Learning Center, Inc. FEIN 51‐0135958 Mailing Address P. O. Box 698 Crab Orchard Profit NonProfit NP County Raleigh WV 25827 Executive Director Terry Poe Contact Name Director Email ljlearningcenter@suddenlinkm Contact Email Phone 304‐253‐8913 Cell Waiver Provider N Fax 304‐253‐0409 Counselor Kelli White Services Community Based Assessment, Direct Placement, Job Coaching, Life Skills ERS, Work Adjustment ERS, Work Skills Assessment Counties Served Fayette, Raleigh, Summers Miscellaneous Wednesday, August 20, 2014 Page 14 of 30 MCOI, Inc FEIN 55‐0485320 Mailing Address 238 Career Path Princeton WV 24739 Profit NonProfit NP County Mercer Executive Director Stephen E. Dickerson Contact Name Director Email s.dickerson@mcoicrp.org Contact Email Phone 304‐425‐3810 Cell 304‐887‐1846 Waiver Provider N Fax 304‐487‐6621 Counselor Margie Cordle Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Greenbrier, McDowell, Mercer, Monroe, Raleigh, Summers Miscellaneous Mountain Vista Employment Services FEIN xxx‐xx‐9017 Mailing Address PO Box 144 Thomas Profit NonProfit P County Tucker WV 26292 Executive Director Alison P. Isaacs‐Dunn Contact Name Director Email alisonisaacs@mountainvistawv. Contact Email Phone 301‐501‐0020 Waiver Provider N Fax Cell Counselor Services Community Based Assessment, Direct Placement, Extended Supported Employment Services, Job Coaching Counties Served Barbour, Grant, Hampshire, Hardy, Harrison, Lewis, Marion, Mineral, Monongalia, Pendleton, Preston, Randolph, Taylor, Tucker, Upshur Miscellaneous Northern West Virginia Center for Independent Living, Inc. FEIN 55‐0724177 Mailing Address 601‐3 East Brockway Ave. Suite A&B County Monogalia Morgantown WV 26501 Profit NonProfit NP Executive Director Jan Derry Contact Name Director Email Contact Email jderry@nwvcil.org Phone 304‐296‐6091 Cell Waiver Provider N Fax 304‐292‐5217 Counselor Services Community Based Assessment, Direct Placement, Extended Assessment, Life Skills ERS, Work Adjustment ERS, Work Skills Assessment Counties Served Harrison, Marion, Monongalia, Preston, Taylor Miscellaneous Wednesday, August 20, 2014 Page 15 of 30 Northern West Virginia Center for Independent Living, Inc. ‐ Elkins FEIN 55‐0724177 Mailing Address 107‐109 Randolph Avenue Elkins WV 26416 Profit NonProfit NP County Randolph Executive Director Jan Derry Contact Name Donna Megert Director Email Contact Email dmegert@nwvcil.org Phone 304‐636‐0143 Waiver Provider N Fax 304‐636‐6508 Cell Counselor Services Community Based Assessment, Direct Placement, Extended Assessment, Life Skills ERS, Work Adjustment ERS, Work Skills Assessment Counties Served Barbour, Randolph, Tucker, Upshur Miscellaneous Northwood Health Systems FEIN 55‐0540374 Mailing Address 111 19th Street Wheeling WV 26003 Profit NonProfit NP County Ohio Waiver Provider Y Executive Director Mark A. Games Contact Name Tracey Kinder Director Email mgames@corp.northwoodheal Contact Email tkinder@northwoodhealth.com Fax 304‐234‐3556 Phone 304‐234‐3500 Cell Counselor Services Community Based Assessment, Direct Placement, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Skills Assessment Counties Served Brooke, Ohio Miscellaneous Northwood Health Systems Satellite ‐ Adena FEIN Mailing Address Profit NonProfit NP Moundsville County WV 26041 Waiver Provider Executive Director Contact Name Carrie Tennant Director Email Contact Email ctennant@northwoodhealth.com Fax 304‐845‐9977 Phone 304‐843‐1111 Cell Counselor Debbie Moore Services Community Based Assessment, Direct Placement, Job Coaching, Life Skills ERS, Work Adjustment ERS Counties Served Marshall Miscellaneous Wednesday, August 20, 2014 Page 16 of 30 Northwood Health Systems Satellite ‐ Haught Building FEIN 55‐0540374 Mailing Address 307 Main Street New WV 26155 Profit NonProfit NP County Wetzel Waiver Provider Y Executive Director Mark A. Games Contact Name Heather Dempewolf Director Email Contact Email hdempewolf@northwoodhealth.com Fax 304‐845‐9977 Phone 304‐455‐1344 Cell Counselor Frank Collela Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider Counties Served Tyler, Wetzel Miscellaneous Open Doors, Inc. FEIN 55‐0701927 Mailing Address 211 E Washington Street Lewisburg WV 24901 Profit NonProfit P County Greenbrier Waiver Provider Y Executive Director Amber Hinkle Contact Name David Esteppe, III Director Email ahinkle@suddenlinkmail.com Contact Email desteppe@suddenlinkmail.com Fax 304‐647‐9943 Phone 304‐645‐2130 Cell Counselor Mike Scott Services Direct Placement, Job Coaching, Supported Employment, Waiver Provider Counties Served Greenbrier, Monroe, Nicholas, Summers Miscellaneous Open Doors, Inc. Satellite ‐ Summersville FEIN 55‐0701927 Mailing Address 500 Main Street, Suite 106 Summersville WV 26651 Profit NonProfit P County Nicholas Executive Director Amber Hinkle Contact Name Rhonda Helems ext. 405 Director Email Contact Email rhelems@wvdsl.net Phone 304‐872‐6560 Cell Waiver Provider Y Fax 304‐872‐6579 Counselor Mark McClung Services Direct Placement, Job Coaching, Supported Employment, Waiver Provider Counties Served Greenbrier, Monroe, Nicholas, Webster Miscellaneous Wednesday, August 20, 2014 Page 17 of 30 Options Employment Services FEIN xxx‐xx‐9567 Mailing Address 23 Dixie Drive Buckhannon WV 26201 Profit NonProfit P County Executive Director Sandra Marfield Contact Name Director Email sandra.marfield@gmail.com Contact Email Phone 304‐472‐0209 Waiver Provider N Fax Cell Counselor Donna Sines Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Supported Employment, Work Skills Assessment Counties Served Barbour, Harrison, Lewis, Marion, Monongalia, Randolph, Tucker, Upshur Miscellaneous PACE Enterprises, Inc. FEIN 55‐0528357 Mailing Address 889 Mylan Park Lane Morgantown WV 26501 Profit NonProfit NP County Monogalia Executive Director Greg Morris Contact Name Bob Pirner Director Email gmorris@paceenterprises.Org Contact Email Phone 304‐983‐7223 Waiver Provider Y Fax 304‐983‐2441 Cell Counselor Linda Lutman Services Community Based Assessment, Direct Placement, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS Counties Served Marion, Monongalia, Preston Miscellaneous Paradox Capital, LLC FEIN 27‐3539336 Mailing Address 424 Oakdale Avenue Bridgeport WV 26330 Profit NonProfit P County Executive Director Russell Sickles Contact Name Director Email paradoxcapital@gmail.com Contact Email Phone 304‐641‐4464 Cell Waiver Provider Fax Counselor John McCue, Kathryn Beverly Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Barbour, Berkeley, Braxton, Brooke, Doddridge, Gilmer, Grant, Hampshire, Hancock, Hardy, Harrison, Jefferson, Lewis, Marion, Marshall, Mineral, Monongalia, Morgan, Ohio, Pendleton, Pleasants, Randolph, Ritchie, Taylor, Tucker, Tyler, Upshur, Wetzel, Wirt, Wood Miscellaneous Wednesday, August 20, 2014 Page 18 of 30 Peak Performance of Cambridge, Ltd FEIN 14‐1853324 Mailing Address 1032 Beatty Avenue, Suite #1 County Cambridge OH 43725 Profit NonProfit P Executive Director David C. Radecke Contact Name Director Email dave.peak@roadrunner.com Contact Email Phone 740‐439‐1453 Waiver Provider N Fax 740‐439‐0763 Cell Counselor Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Wood Miscellaneous Peak Performance of Cambridge, Ltd Satellite ‐ Williamstown FEIN 14‐1853324 Mailing Address 601 Highland Avenue Williamstown WV 26187 Profit NonProfit P County Executive Director David Radecke Contact Name Larry Wolfe Director Email Contact Email lwolfe54@suddenlink.net Phone 304‐375‐2990 Waiver Provider Fax 304‐375‐2992 Cell Counselor Shannon Dugan Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Wood Miscellaneous Potomac Highlands Guild, Inc. FEIN 55‐0580866 Mailing Address 32 Water Street Petersburg WV 26847 Profit NonProfit P County Grant Executive Director Mike Landis Contact Name Juanita K. Haslacker Director Email Contact Email Phone 304‐257‐9461 Cell Waiver Provider Y Fax 304‐257‐1945 Counselor Mike Reel Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Grant, Hampshire, Hardy, Mineral, Pendleton Miscellaneous Wednesday, August 20, 2014 Page 19 of 30 Precision Services, Inc. FEIN 31‐1000240 Mailing Address 483 Elk River Road Gassaway WV 26624 Profit NonProfit NP County Braxton Executive Director Jack Holcomb Contact Name Director Email jholcomb_psi81@yahoo.com Contact Email Phone 304‐364‐3500 Waiver Provider N Fax 304‐364‐3501 Cell Counselor Services Direct Placement, Job Coaching, Work Adjustment ERS, Work Skills Assessment Counties Served Braxton, Gilmer, Lewis Miscellaneous Prestera Center for Mental Health Services, Inc. FEIN 55‐0492369 Mailing Address 3375 U.S. Route 60, East Huntington WV 25702 Profit NonProfit NP County Cabell Executive Director Karen Yost Contact Name Joshua Vance Director Email karen.yost@prestera.org Contact Email joshua.vance@prestera.org Phone 304‐525‐7851 Waiver Provider Y Fax Cell Counselor Judy Patton Katrina Stewart Services Community Based Assessment, Direct Placement, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Cabell, Kanawha, Lincoln, Putnam, Wayne Miscellaneous Prestera Center for Mental Health Services, Inc. Satellite ‐ Huntington FEIN 55‐0492369 Mailing Address 25 Lincoln Plaza Branchland WV 25506 Profit NonProfit NP County Lincoln Executive Director Karen Yost Contact Name Joshua Vance Director Email karen.yost@prestera.org Contact Email joshua.vance@prestera.org Phone 304‐525‐7851 Cell Waiver Provider Y Fax Counselor Clint Poston Teryl Jones Services Community Based Assessment, Direct Placement, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Cabell, Lincoln Miscellaneous Wednesday, August 20, 2014 Page 20 of 30 Preston County Workshop FEIN 55‐0576523 Mailing Address 650 Jennmar Drive Reedsville WV 26547 Profit NonProfit NP County Preston Executive Director John Hyre Contact Name Director Email pcswcrp@frontiernet.net Contact Email Phone 304‐864‐6446 Waiver Provider N Fax 304‐864‐6447 Cell Counselor Cindy Tennent Services Community Based Assessment, Direct Placement, Job Coaching, Supported Employment, Work Skills Assessment Counties Served Monongalia, Preston Miscellaneous Randolph County Sheltered Workshop, Inc. FEIN 55‐0566803 Mailing Address 890 Industrial Park Road Elkins WV 26241 Profit NonProfit NP County Randolph Executive Director Mike Turner Contact Name Mike Turner Director Email Contact Email mike@senecadesigns.com Phone 304‐636‐1638 Waiver Provider N Fax 304‐636‐1639 Cell Counselor John Shipman Services Direct Placement, Job Coaching, Supported Employment, Work Skills Assessment Counties Served Randolph Miscellaneous Rebecca Coffman FEIN xxx‐xx‐9307 Mailing Address 4953 Washington Street, W Cross Lanes WV 25313 Profit NonProfit P County Kanawha Executive Director Rebecca Coffman Contact Name Director Email bjtigerlilly@yahoo.com Contact Email Phone 304‐541‐0465 Cell Waiver Provider N Fax Counselor Services Community Based Assessment, Direct Placement, Extended Supported Employment Services, Job Coaching Counties Served Kanawha, Putnam Miscellaneous Wednesday, August 20, 2014 Page 21 of 30 Rem, Inc. FEIN 41‐1756072 Mailing Address 748 McMechen Street Benwood WV 26031 Profit NonProfit P County Marshall Waiver Provider Y Executive Director Jane Ketcham Contact Name Hillary Ensminger Director Email jane.ketcham@thementornetw Contact Email hillary.ensminger@thementornetwork.com Fax 304‐233‐2664 Phone 304‐233‐3474 Cell Counselor Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Brooke, Hancock, Marshall, Ohio Miscellaneous Cyndi Dickerson Cynthia.Dickerson@thementornetwork.com Rem, Inc. Satellite FEIN 41‐1756072 Mailing Address 533 South 4th Ave Paden City WV 26159 Profit NonProfit P County Jackson Waiver Provider Y Executive Director Jane Ketcham Contact Name Barbara Stegman Director Email jane.ketcham@thementornetw Contact Email barbara.stegman@thementornetwork.net Fax 304‐273‐5803 Phone 304‐273‐5802 Cell Counselor Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Doddridge, Jackson, Pleasants, Ritchie, Tyler, Wetzel, Wirt, Wood Miscellaneous Satellite for Paden City/St Marys/Williamstown/Ravenswood Rem, Inc. Satellite ‐ Bridgeport FEIN 41‐1756072 Mailing Address 1400 Johnson Avenue, Suite 2A County Bridgeport WV 26330 Profit NonProfit P Waiver Provider Y Executive Director Jane Ketcham Contact Name Holly Bond Director Email jane.ketcham@thementornetw Contact Email hollybond@thementornetwork.com Fax 304‐842‐9062 Phone 304‐842‐9054 Cell Counselor Services Job Coaching Counties Served Harrison, Marion Miscellaneous Wednesday, August 20, 2014 Page 22 of 30 Rem, Inc. Satellite ‐ Beckley FEIN 41‐1756072 Mailing Address 200 New River Town Center Suite 500 County Raleigh Beckley WV 25801 Profit NonProfit P Waiver Provider Y Executive Director Jane Ketcham Contact Name Terri Settle Director Email jane.ketcham@thementornetw Contact Email terri.settle@thementornetwork.com Fax 304‐254‐8422 Phone 304‐254‐8420 Cell Counselor Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Braxton, Fayette, Greenbrier, Mercer, Monroe, Nicholas, Pocahontas, Raleigh, Summers, Webster Miscellaneous Rem, Inc. Satellite ‐ Charleston FEIN 41‐1756072 Mailing Address 6404 Macorkle Avenue St. Albans WV 25177 Profit NonProfit P County Kanawha Waiver Provider Y Executive Director Jane Ketcham Contact Name Shawn P. Woods Director Email jane.ketcham@thementornetw Contact Email shawn.woods@thementornetwork.com Fax 304‐768‐7748 Phone 304‐768‐5575 Cell Counselor Mike Lamb Services Community Based Assessment, Direct Placement, Extended Assessment, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Boone, Cabell, Clay, Jackson, Kanawha, Lincoln, Logan, Mason, Putnam, Roane, Wayne, Webster Miscellaneous Rem, Inc. Satellite ‐ Morgantown FEIN 41‐1756072 Mailing Address 965 Hartman Ron Rod, Ste 1105 County Morgantown WV 26505 Profit NonProfit P Waiver Provider Y Executive Director Jane Ketcham Contact Name Kim George Director Email jane.ketcham@thementornetw Contact Email kim.george@thementornetwork.com Fax 304‐291‐3139 Phone 304‐292‐2108 Cell Counselor Services Job Coaching Counties Served Monongalia Miscellaneous Wednesday, August 20, 2014 Page 23 of 30 Rem, Inc. Satellite ‐ The Treehouse FEIN 41‐1756072 Mailing Address 119 Lakeview Drive Cross Lanes WV 25313 Profit NonProfit P County Kanawha Waiver Provider Y Executive Director Jane Ketcham Contact Name Kristy Jones Director Email jane.ketcham@thementornetw Contact Email kristy.jones@thementornetwork.com Fax 304‐776‐3052 Phone 304‐766‐3043 Cell Counselor Services Community Based Assessment, Direct Placement, Extended Assessment, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Kanawha Miscellaneous ResCare WV Huntington Agency FEIN 31‐1208122 Mailing Address 208 Cheshire Way Huntington WV 25704 Profit NonProfit P County Cabell Executive Director Anna Beavers Contact Name Director Email abeaver@rescare.com Contact Email Phone 304‐429‐0100 Waiver Provider Y Fax 304‐429‐0148 Cell Counselor Services Community Based Assessment, Direct Placement, Extended Supported Employment Services, Job Coaching, Supported Employment, Waiver Provider Counties Served Cabell, Lincoln, Mason, Wayne Miscellaneous ResCare WV Lewisburg Agency (VOCA) FEIN 31‐1208122 Mailing Address 208 S. Court Street Lewisburg WV 24901 Profit NonProfit P County Greenbrier Executive Director Christine Shaw Contact Name Director Email cshaw@rescare.com Contact Email Phone 304‐645‐1115 Cell Waiver Provider Y Fax 304‐645‐2835 Counselor Bethany Ellard‐Richmond Services Community Based Assessment, Direct Placement, Extended Assessment, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Greenbrier, Monroe, Pocahontas, Summers Miscellaneous Wednesday, August 20, 2014 Page 24 of 30 Revolution Training & Strategies, Inc. FEIN 42‐2630429 Mailing Address 1134 Maple Avenue Fayetteville WV 25840 Profit NonProfit P County Fayette Executive Director Bethany Rose Contact Name Director Email revotrainingstrategies@gmail.c Contact Email Phone 304‐890‐4435 Waiver Provider N Fax 304‐469‐8357 Cell Counselor Joy Napier, Diane Woods, Crystal Lively, Jade Hoover, Evangeline Reed Services Community Based Assessment, Direct Placement, Extended Assessment, Life Skills ERS, Work Adjustment ERS Counties Served Fayette, Nicholas, Raleigh Miscellaneous Russell Nesbitt Services, Inc. FEIN 55‐0452151 Mailing Address 431 Fulton Street Wheeling WV 26003 Profit NonProfit NP County Ohio Executive Director Brian J. Breyer Contact Name Director Email bbreyer@rns‐watch.org Contact Email Phone 304‐232‐0233 Waiver Provider Y Fax 304‐233‐1177 Cell Counselor David Valentine Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Supported Employment, Waiver Provider, Work Skills Assessment Counties Served Marshall, Ohio, Wetzel Miscellaneous SW Resources, Inc. FEIN 55‐0479290 Mailing Address 1007 Mary Street Parkersburg WV 26101 Profit NonProfit NP County Wood Executive Director Terah Klein Contact Name April Pennell Director Email tklein@swresources.com Contact Email apennell@swresources.com Phone 304‐428‐6344 Cell Waiver Provider Y Fax 304‐485‐9019 Counselor Shannon Dugan Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Calhoun, Gilmer, Jackson, Pleasants, Ritchie, Roane, Wirt, Wood Miscellaneous Wednesday, August 20, 2014 Page 25 of 30 The Disability Action Center, Inc. FEIN 55‐0457248 Mailing Address 102 Benoni Avenue Fairmont WV 26554 Profit NonProfit NP County Marion Executive Director Julie Sole Contact Name Director Email jsole@disabilityactioncenter.co Contact Email Phone 304‐366‐3213 Waiver Provider N Fax 304‐368‐1300 Cell Counselor Dianne Heldreth Services Community Based Assessment, Direct Placement, Extended Assessment, Job Coaching, Life Skills ERS, Supported Employment, Work Skills Assessment Counties Served Barbour, Harrison, Marion, Monongalia, Taylor, Wetzel Miscellaneous The Op Shop, Inc. FEIN 550527954 Mailing Address 316 Columbia Street Fairmont WV 26554 Profit NonProfit NP County Marion Executive Director Janet D. Smith Contact Name Janet D. Smith Director Email theopshop@gmail.com Contact Email Phone 304‐366‐5737 Waiver Provider N Fax 304‐363‐6651 Cell Counselor Services Community Based Assessment, Direct Placement, Extended Assessment, Job Coaching, Life Skills ERS, Work Adjustment ERS, Work Skills Assessment Counties Served Harrison, Marion, Taylor Miscellaneous Have janitorial sites in Barbour, Hancock & Doddridge The Seeing Hand Association, Inc. FEIN 55‐0284240 Mailing Address 750 Main Street Wheeling WV 26003 Profit NonProfit NP County Ohio Executive Director Karen Haught Contact Name Director Email karen@seeinghandassociation. Contact Email Phone 304‐232‐4810 Cell Waiver Provider N Fax 304‐230‐1920 Counselor Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Brooke, Hancock, Marshall, Ohio, Wetzel Miscellaneous Wednesday, August 20, 2014 Page 26 of 30 Vocational Services, Inc. FEIN 55‐0744572 Mailing Address PO Box 56 Amma Profit NonProfit P County Roane WV 25005 Executive Director Jeff McCroskey Contact Name Jeff McCroskey Director Email Contact Email JeffMccroskey@aim.com Phone 304‐545‐1483 Waiver Provider N Fax 304‐343‐2017 Cell Counselor Services Direct Placement, Extended Supported Employment Services, Job Coaching, Supported Employment Counties Served Kanawha Miscellaneous W.A.T.C.H., Inc. FEIN 31‐0922320 Mailing Address 431 Fulton Street Wheeling WV 26003 Profit NonProfit NP County Ohio Executive Director Brian Breyer Contact Name Jim Holden Director Email bbreyer@rns‐watch.org Contact Email jholden@rns‐watch.org Phone 304‐232‐0233 Waiver Provider N Fax 304‐233‐1177 Cell Counselor David Valentine Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Marshall, Ohio Miscellaneous Westbrook Health Services, Inc. Billing Location FEIN 55‐0484662 Mailing Address 2121 7th Street Parkersburg WV 26101 Profit NonProfit NP County Wood Waiver Provider Executive Director JoAnn Powell Contact Name Judy Whited Director Email joann@westbrookhealth.com Contact Email jshiner@westbrookhealth.com Fax Phone 304‐485‐1721 Cell Y Counselor Marsha Spiker Services Community Based Assessment, Direct Placement, Extended Assessment, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Calhoun, Jackson, Pleasants, Ritchie, Roane, Tyler, Wirt, Wood Miscellaneous Wednesday, August 20, 2014 Page 27 of 30 Westbrook Health Services, Inc. Satellite ‐ Jackson Co. FEIN 55‐0484662 Mailing Address 2471 Route 21 Ripley WV 25271 Profit NonProfit NP County Waiver Provider Y Executive Director JoAnn Powell Contact Name Judy Whited Director Email joann@westbrookhealth.com Contact Email jshiner@westbrookhealth.com Fax 304‐372‐6894 Phone 304‐372‐6833 Cell Counselor Services Community Based Assessment, Direct Placement, Extended Assessment, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Calhoun, Jackson, Pleasants, Ritchie, Roane, Tyler, Wirt, Wood Miscellaneous Billing should be sent to 7th St Parkersburg address Westbrook Health Services, Inc. Satellite ‐ Parkersburg FEIN 55‐0484662 Mailing Address 3303 Emerson Avenue Parkersburg WV 26104 Profit NonProfit NP County Waiver Provider Y Executive Director JoAnn Powell Contact Name Judy Whited Director Email joann@westbrookhealth.com Contact Email jshiner@westbrookhealth.com Fax 304‐865‐1294 Phone 304‐485‐1721 Cell Counselor Marsha Spiker Services Community Based Assessment, Direct Placement, Extended Assessment, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Calhoun, Jackson, Pleasants, Ritchie, Roane, Tyler, Wirt, Wood Miscellaneous Billing should be sent to 7th St Parkersburg address Westbrook Health Services, Inc. Satellite ‐ Ritchie Co. FEIN 55‐0484662 Mailing Address 713 East Main St Harrisville WV 26362 Profit NonProfit NP County Waiver Provider Y Executive Director JoAnn Powell Contact Name Judy Whited Director Email joann@westbrookhealth.com Contact Email jshiner@westbrookhealth.com Fax 304‐643‐4087 Phone 304‐643‐2996 Cell Counselor Services Community Based Assessment, Direct Placement, Extended Assessment, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Calhoun, Jackson, Pleasants, Ritchie, Roane, Tyler, Wirt, Wood Miscellaneous Billing should be sent to 7th St Parkersburg address Wednesday, August 20, 2014 Page 28 of 30 Westbrook Health Services, Inc. Satellite ‐ Roane Co. FEIN 55‐0484662 Mailing Address 227 Clay Road Spencer WV 25276 Profit NonProfit NP County Waiver Provider Y Executive Director JoAnn Powell Contact Name Judy Whited Director Email joann@westbrookhealth.com Contact Email jshiner@westbrookhealth.com Fax 304‐927‐5201 Phone 304‐927‐5200 Cell Counselor Services Community Based Assessment, Direct Placement, Extended Assessment, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Calhoun, Jackson, Pleasants, Ritchie, Roane, Tyler, Wirt, Wood Miscellaneous Billing should be sent to 7th St Parkersburg address Westbrook Health Services, Inc. Satellite ‐ St Mary's FEIN 55‐0484662 Mailing Address 210 Second Street St. Mary's WV 26170 Profit NonProfit NP County Waiver Provider Y Executive Director JoAnn Powell Contact Name Judy Whited Director Email joann@westbrookhealth.com Contact Email jshiner@westbrookhealth.com Fax 304‐684‐2658 Phone 304‐684‐2656 Cell Counselor Services Community Based Assessment, Direct Placement, Extended Assessment, Job Coaching, Life Skills ERS, Supported Employment, Waiver Provider, Work Adjustment ERS, Work Skills Assessment Counties Served Calhoun, Jackson, Pleasants, Ritchie, Roane, Tyler, Wirt, Wood Miscellaneous Billing should be sent to 7th St Parkersburg address WV Family Support & Rehabilitation Services FEIN 27‐0677349 Mailing Address 214 Eighth Street Parkersburg WV 26101 Profit NonProfit NP County Wood Executive Director Gina E. Ogwude Contact Name Director Email gina.ogwude@wvfsrs.org Contact Email Phone 304‐917‐0021 Cell Waiver Provider N Fax 304‐917‐0022 Counselor Peggy Sisson Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Jackson, Wirt, Wood Miscellaneous Wednesday, August 20, 2014 Page 29 of 30 WV Family Support & Rehabilitation Services Satellite ‐ Charleston FEIN Mailing Address 1031 Quarrier Street Charleston WV 25301 Profit NonProfit County Executive Director Contact Name Gina Ogwude Director Email Contact Email gina.ogwude@wvfsrs.org Phone 304‐344‐8750 Waiver Provider Fax Cell Counselor Services Community Based Assessment, Direct Placement, Extended Assessment, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Jackson, Kanawha Miscellaneous Zaneville Welfare Organization & Goodwill Industries, Inc. FEIN 31‐4379480 Mailing Address 3610 West Pike Zanesville OH 43701 Profit NonProfit NP County Executive Director Lou Cvetnic, Jr., Contact Name Kaci Neptune, Vice President Director Email Contact Email kln_vp@ohwvagoodwill.org Phone 740‐450‐6060 Waiver Provider N Fax 740‐297‐7048 Cell Counselor Services Community Based Assessment, Direct Placement, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Marshall, Ohio, Pleasants, Tyler, Wetzel Miscellaneous Kim Mossholder President, CEO kdm@ohwvagoodwill.org 304‐843‐1546 304‐843‐1546 Zaneville Welfare Organization & Goodwill Industries, Inc. Satellite ‐ Gle FEIN Mailing Address 403 Wheeling Avenue Glendale WV 26038 Profit NonProfit County Executive Director Contact Name Kim Mossholder Director Email Contact Email kdm@ohwvagoodwill.org Phone 304‐843‐1546 Cell Waiver Provider Fax 304‐843‐2546 Counselor Services Community Based Assessment, Direct Placement, Extended Supported Employment Services, Job Coaching, Life Skills ERS, Supported Employment, Work Adjustment ERS, Work Skills Assessment Counties Served Marshall, Ohio, Pleasants, Tyler, Wetzel Miscellaneous Wednesday, August 20, 2014 Page 30 of 30
