Anna Vladimirovna Ickes, LPC | |
8310 Midlothian Tpke, North Chesterfield, VA 23235-5163 | |
(804) 503-9975 | |
Not Available |
Full Name | Anna Vladimirovna Ickes |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 8310 Midlothian Tpke, North Chesterfield, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1053019901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 0701012213 (Virginia) | Primary |
Entity Name | Lighthouse Behavioral Health Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982952545 PECOS PAC ID: 5092021949 Enrollment ID: O20150908003108 |
Mailing Address | Practice Location Address |
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Anna Vladimirovna Ickes, LPC 8310 Midlothian Tpke, North Chesterfield, VA 23235-5163 Ph: () - | Anna Vladimirovna Ickes, LPC 8310 Midlothian Tpke, North Chesterfield, VA 23235-5163 Ph: (804) 503-9975 |
Ms. Sumara Wiggins, LPC, CRC Counselor Medicare: Medicare Enrolled Practice Location: 1905 Huguenot Rd Ste 306, North Chesterfield, VA 23235 Phone: 804-301-3424 Fax: 804-800-2751 | |
Daisy Kate Bedser, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Midlothian Tpke Ste 127, North Chesterfield, VA 23235 Phone: 804-243-8395 | |
Mrs. Lindsey Court Kirchmier, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Moorefield Park Dr Ste 204, North Chesterfield, VA 23236 Phone: 919-357-7426 | |
Mrs. Shameka Clark-savage, LPC Counselor Medicare: Medicare Enrolled Practice Location: 10710 Midlothian Tpke Ste 127, North Chesterfield, VA 23235 Phone: 804-207-6737 | |
Ms. Linda Ann Noronha, LPC Counselor Medicare: Medicare Enrolled Practice Location: 9023 Forest Hill Ave, North Chesterfield, VA 23235 Phone: 804-218-5678 Fax: 804-800-8423 | |
Robin Spears, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3006 Waddington Dr, North Chesterfield, VA 23224 Phone: 804-253-7973 | |
Cory Mitchell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2501 Turner Rd, North Chesterfield, VA 23224 Phone: 804-276-6059 |