Alisa Mashanda Branch, LPC is a
Counselor - Mental Health based in Ridgeway, Virginia. Alisa Mashanda Branch is licensed to practice in Virginia (license number 0701008513) and her current practice location is
4944 Greensboro Rd, Ridgeway, Virginia. She can be reached at her office (for appointments etc.) via phone at
(276) 956-2233.
NPI number for Alisa Mashanda Branch is 1073751053 and her current mailing address is 4944 Greensboro Rd, Ridgeway, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073751053.
Healthcare Provider's Profile
Full Name | Alisa Mashanda Branch |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 4944 Greensboro Rd, Ridgeway, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073751053
- Provider Enumeration Date: 01/28/2009
- Last Update Date: 07/25/2019
Medical Identifiers
Medical identifiers for Alisa Mashanda Branch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073751053 | NPI | - | NPPES |
1689182164 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 0701008513 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alisa Mashanda Branch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alisa Mashanda Branch, LPC 4944 Greensboro Rd, Ridgeway, VA 24148-3390 Ph: (276) 956-2233 | Alisa Mashanda Branch, LPC 4944 Greensboro Rd, Ridgeway, VA 24148-3390 Ph: (276) 956-2233 |
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