Brandon R Bise, LPC | |
440 Fox Town Rd, Clintwood, VA 24228-5077 | |
(276) 926-1680 | |
(276) 926-9179 |
Full Name | Brandon R Bise |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 440 Fox Town Rd, Clintwood, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659735900 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 071006576 (Virginia) | Primary |
Entity Name | Dickenson County Behavioral Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649209990 PECOS PAC ID: 9436134475 Enrollment ID: O20040623000133 |
Mailing Address | Practice Location Address |
---|---|
Brandon R Bise, LPC Po Box 309, Clintwood, VA 24228-0309 Ph: (276) 926-1680 | Brandon R Bise, LPC 440 Fox Town Rd, Clintwood, VA 24228-5077 Ph: (276) 926-1680 |
Erin Marie Janovec, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 440 Fox Town Rd, Clintwood, VA 24228 Phone: 276-926-1680 | |
Brittney Danielle Powers Turner, MED Counselor Medicare: Medicare Enrolled Practice Location: 440 Fox Town Rd, Clintwood, VA 24228 Phone: 276-926-1680 Fax: 276-926-9179 | |
Kristina Lynn Endicott, LPC Counselor Medicare: Medicare Enrolled Practice Location: 160 Court House Ln, Clintwood, VA 24228 Phone: 276-219-3237 | |
Colby Dewayne Ball, LPC Counselor Medicare: Medicare Enrolled Practice Location: 440 Fox Town Rd, Clintwood, VA 24228 Phone: 276-926-1680 Fax: 276-926-9179 | |
Jeffrey Mckinley Kennedy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 440 Fox Town Rd, Clintwood, VA 24228 Phone: 276-926-1680 Fax: 276-926-9179 |