Dora Lee Smith, MA LPC | |
21351 Gentry Drive Suite 200, Sterling, VA 20166 | |
(703) 493-0891 | |
Not Available |
Full Name | Dora Lee Smith |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 21351 Gentry Drive Suite 200, Sterling, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225623598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0704013120 (Virginia) | Secondary |
101YP2500X | Counselor - Professional | 0701012259 (Virginia) | Primary |
Entity Name | Psych Wise Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396518387 PECOS PAC ID: 7517308083 Enrollment ID: O20240515001129 |
Mailing Address | Practice Location Address |
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Dora Lee Smith, MA LPC 124 Beverly Ave Sw, Wise, VA 24293 Ph: (828) 707-0276 | Dora Lee Smith, MA LPC 21351 Gentry Drive Suite 200, Sterling, VA 20166 Ph: (703) 493-0891 |
Mrs. Tamira Lynn Rosner, M.ED., LPCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21351 Gentry Dr, Suite 250, Sterling, VA 20166 Phone: 703-444-3315 Fax: 703-444-3317 | |
Mrs. Chenel Mann, COUNSELORINRESIDENCE Counselor Medicare: Not Enrolled in Medicare Practice Location: 21351 Gentry Dr Ste 250, Sterling, VA 20166 Phone: 703-493-0891 | |
Chelsea Ann Ahearn-feketa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Carpenter Dr Ste 110, Sterling, VA 20164 Phone: 703-297-4368 | |
Roger Drew, LPC, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 E Holly Ave, Suite 13, Sterling, VA 20164 Phone: 703-444-5833 | |
Emily Elizabeth Gardner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 47553 Anchorage Cir, Sterling, VA 20165 Phone: 571-449-1003 | |
Elizabeth Ann Ozalas, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21641 Ridgetop Cir, Suite 105, Sterling, VA 20166 Phone: 571-258-3012 Fax: 571-258-3032 | |
Ms. Harasis Kaur, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Carpenter Drive, Suite 110, Sterling, VA 20164 Phone: 703-297-4368 |