Cassandra Merrick, LPC | |
20 E Tabb St Ste 205, Petersburg, VA 23803-4560 | |
(804) 536-5066 | |
(202) 545-3413 |
Full Name | Cassandra Merrick |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 20 E Tabb St Ste 205, Petersburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912646142 | NPI | - | NPPES |
0701011674 | Other | VA | LPC LICENSE NUMBER |
1912646142 | Other | VA | PRIVATE INSURANCE |
1912646142 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
101YM0800X | Counselor - Mental Health | (Virginia) | Secondary |
Entity Name | Rhodium Care Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235853698 PECOS PAC ID: 4880059922 Enrollment ID: O20230425002482 |
Mailing Address | Practice Location Address |
---|---|
Cassandra Merrick, LPC 20 E Tabb St Ste 205, Petersburg, VA 23803-4560 Ph: (804) 536-5066 | Cassandra Merrick, LPC 20 E Tabb St Ste 205, Petersburg, VA 23803-4560 Ph: (804) 536-5066 |
Charita Threatt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Holly Hill Dive, Petersburg, VA 23805 Phone: 804-733-8847 | |
Titoni Levon Crenshaw, QMHP, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2825 S Crater Rd, Petersburg, VA 23805 Phone: 804-712-3546 | |
Alexandrea J Jackson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Poplar Dr, Petersburg, VA 23805 Phone: 804-733-6874 Fax: 804-518-1341 | |
Ebony Glynn Walker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Poplar Dr, Petersburg, VA 23805 Phone: 804-733-6874 | |
Ashely Ryan, LPC Counselor Medicare: Medicare Enrolled Practice Location: 20 W Bank St, Suite 5, Petersburg, VA 23803 Phone: 804-863-1689 | |
Mr. Ricky Terrell Norwood Jr., M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 Harrison Creek Blvd Apt 6201, Petersburg, VA 23803 Phone: 804-861-4884 Fax: 804-862-7188 | |
Michael Anthony Thomas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 N Sycamore St, Petersburg, VA 23803 Phone: 804-919-1199 |