Mrs Logan Ellington-harrison, LCSW | |
135 S Saratoga St, Suffolk, VA 23434-5322 | |
(757) 942-1985 | |
(757) 925-2213 |
Full Name | Mrs Logan Ellington-harrison |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 135 S Saratoga St, Suffolk, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780777961 | NPI | - | NPPES |
010105439 | Medicaid | VA | |
010105366 | Medicaid | VA | |
0101079519 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904005852 (Virginia) | Primary |
Entity Name | In Harmony Wellness Ihw Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477047546 PECOS PAC ID: 1355692005 Enrollment ID: O20180919004095 |
Mailing Address | Practice Location Address |
---|---|
Mrs Logan Ellington-harrison, LCSW 116 Dunbar Dr, Suffolk, VA 23434-8018 Ph: (757) 537-3414 | Mrs Logan Ellington-harrison, LCSW 135 S Saratoga St, Suffolk, VA 23434-5322 Ph: (757) 942-1985 |
Ms. Teresa J Bobbio, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 1/2 Clay St, Suffolk, VA 23434 Phone: 757-965-8663 Fax: 757-539-8834 | |
Danielle Brown Kashaija, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7025 Harbour View Blvd Ste 119, Suffolk, VA 23435 Phone: 757-966-2805 | |
Mrs. Iona Evelyn Ellis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2034 Soundings Crescent Ct, Suffolk, VA 23435 Phone: 703-493-0891 | |
Mr. Karl Miller, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 135 Peck Ln, Suffolk, VA 23434 Phone: 757-910-6065 | |
Miss Shaconda Larece Holloway, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5268 Godwin Blvd, Western Tidewater Mental Health, Suffolk, VA 23434 Phone: 757-255-7117 Fax: 757-255-7139 | |
Alafeya Bailey, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1000 Commercial Ln, Suffolk, VA 23434 Phone: 757-925-2484 | |
Lashae Wade-smith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7118 Arrington St, Suffolk, VA 23435 Phone: 757-537-8787 |