Elizabeth R Russell, BA, BS | |
9609 Jefferson Davis Hwy, North Chesterfield, VA 23237-4621 | |
(804) 275-1116 | |
(804) 275-1850 |
Full Name | Elizabeth R Russell |
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Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 9609 Jefferson Davis Hwy, North Chesterfield, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1740795160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Entity Name | Old Towne Counseling Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487855003 PECOS PAC ID: 7618149865 Enrollment ID: O20111011000695 |
Mailing Address | Practice Location Address |
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Elizabeth R Russell, BA, BS 9609 Jefferson Davis Hwy, North Chesterfield, VA 23237-4621 Ph: (804) 275-1116 | Elizabeth R Russell, BA, BS 9609 Jefferson Davis Hwy, North Chesterfield, VA 23237-4621 Ph: (804) 275-1116 |
Ms. Sumara Wiggins, LPC, CRC Counselor Medicare: Medicare Enrolled Practice Location: 1905 Huguenot Rd Ste 306, North Chesterfield, VA 23235 Phone: 804-301-3424 Fax: 804-800-2751 | |
Daisy Kate Bedser, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Midlothian Tpke Ste 127, North Chesterfield, VA 23235 Phone: 804-243-8395 | |
Mrs. Lindsey Court Kirchmier, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Moorefield Park Dr Ste 204, North Chesterfield, VA 23236 Phone: 919-357-7426 | |
Mrs. Shameka Clark-savage, LPC Counselor Medicare: Medicare Enrolled Practice Location: 10710 Midlothian Tpke Ste 127, North Chesterfield, VA 23235 Phone: 804-207-6737 | |
Ms. Linda Ann Noronha, LPC Counselor Medicare: Medicare Enrolled Practice Location: 9023 Forest Hill Ave, North Chesterfield, VA 23235 Phone: 804-218-5678 Fax: 804-800-8423 | |
Jasmine Ariana Norman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1901 Huguenot Rd Ste 312, North Chesterfield, VA 23235 Phone: 804-889-2384 | |
Margaret Gravely, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Moorefield Park Dr Ste 140, North Chesterfield, VA 23236 Phone: 804-719-1966 |