Edward W Berry, LPC | |
5700 W Grace St Ste 100, Richmond, VA 23226-1832 | |
(804) 937-8329 | |
(888) 561-5325 |
Full Name | Edward W Berry |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 5700 W Grace St Ste 100, Richmond, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336700129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701008408 (Virginia) | Primary |
Entity Name | Cleanslate Medical Group Of Virginia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629549779 PECOS PAC ID: 9133462294 Enrollment ID: O20190514000779 |
Mailing Address | Practice Location Address |
---|---|
Edward W Berry, LPC 5700 W Grace St Ste 100, Richmond, VA 23226-1832 Ph: (804) 937-8329 | Edward W Berry, LPC 5700 W Grace St Ste 100, Richmond, VA 23226-1832 Ph: (804) 937-8329 |
Lauren Lusk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Byrd Ave, Richmond, VA 23230 Phone: 804-592-6311 | |
Trisha Jasmine Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Byrd Ave, Richmond, VA 23230 Phone: 804-592-6311 | |
Mark C. Taylor, MSW, LMHP-S, CSAC, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1731 N 28th St, Richmond, VA 23223 Phone: 804-301-8400 | |
Ms. Pamela Kavanaugh Douglas, MSN,APRN,BC Counselor Medicare: Accepting Medicare Assignments Practice Location: 6722 Patterson Ave, Suite B, Richmond, VA 23226 Phone: 804-282-4000 Fax: 804-282-7799 | |
Wanda A. Crockett, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2006 Bremo Rd, Suite 101, Richmond, VA 23226 Phone: 804-288-1881 Fax: 804-288-1881 | |
Steven Lawrence Ecker, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4915 Radford Ave, Richmond, VA 23230 Phone: 804-359-3370 Fax: 804-359-1649 | |
Mrs. Joanne Clarke Seawell, LPC/LMFT Counselor Medicare: Medicare Enrolled Practice Location: 6603 Irongate Sq, Richmond, VA 23234 Phone: 804-743-0960 |