Crystal Somerville, | |
37 Village Hwy, Rustburg, VA 24588-4112 | |
(434) 332-5159 | |
Not Available |
Full Name | Crystal Somerville |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 37 Village Hwy, Rustburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972018190 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701007384 (Virginia) | Primary |
Entity Name | St Lukes Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
Entity Name | Thrive Counseling Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20120416000069 |
Mailing Address | Practice Location Address |
---|---|
Crystal Somerville, 3410 Old Forest Rd, Lynchburg, VA 24501-2915 Ph: () - | Crystal Somerville, 37 Village Hwy, Rustburg, VA 24588-4112 Ph: (434) 332-5159 |
Tara Cothren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 37 Village Hwy, Rustburg, VA 24588 Phone: 434-332-5149 Fax: 434-485-8877 | |
Mr. Bryan John Prinzivalli, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 17 Crestview Dr, Rustburg, VA 24588 Phone: 434-878-0067 | |
Stephen John Oakley, LPC Counselor Medicare: Medicare Enrolled Practice Location: 37 Village Hwy, Rustburg, VA 24588 Phone: 434-332-5149 Fax: 434-332-1819 | |
Mrs. Nicole Stone Chalmers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 521 Valley Dr, Rustburg, VA 24588 Phone: 434-728-3021 | |
Thomas Aaron Tascone, B.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 674 Red House Road, Rustburg, VA 24588 Phone: 434-329-1730 | |
Mrs. Bridget Alvis Mathwin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 37 Village Hwy Ste 2, Rustburg, VA 24588 Phone: 434-332-5149 | |
Ms. Camika L. Bailey, LPC Counselor Medicare: Medicare Enrolled Practice Location: 37 Village Hwy, Rustburg, VA 24588 Phone: 434-332-5149 Fax: 434-332-1819 |