Cheryl Edwards Ponton, LPC-R | |
10543 S Crater Rd, South Prince George, VA 23805-7333 | |
(804) 431-5585 | |
Not Available |
Full Name | Cheryl Edwards Ponton |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 10543 S Crater Rd, South Prince George, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699385385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 0704011400 (Virginia) | Primary |
Entity Name | Virginia Pac Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073042800 PECOS PAC ID: 4587930672 Enrollment ID: O20171017002271 |
Entity Name | Savida Health, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548739170 PECOS PAC ID: 4082809967 Enrollment ID: O20190426001267 |
Entity Name | Nv Pacs 2 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20220802002024 |
Entity Name | Cs Pacs 3 Southeast Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20240821003368 |
Mailing Address | Practice Location Address |
---|---|
Cheryl Edwards Ponton, LPC-R 10543 S Crater Rd, South Prince George, VA 23805-7333 Ph: (804) 431-5585 | Cheryl Edwards Ponton, LPC-R 10543 S Crater Rd, South Prince George, VA 23805-7333 Ph: (804) 431-5585 |
Erika Saunders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-431-5585 | |
Jewel Winns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-431-5585 | |
Brooke M Graves, CSAC-S QMHP-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-431-5585 | |
Brittany Jane Townsend, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10541 S Crater Rd, South Prince George, VA 23805 Phone: 800-805-6989 | |
Mrs. Malissa Ann Quinlan Farnum, CSAC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-223-5141 | |
Vernita Ellis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-431-5585 Fax: 804-431-5820 | |
Claudia Clarke, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-431-5585 Fax: 804-431-5820 |