Gay Alesia Holbrook, LPC | |
228 Trump Dr, Marion, VA 24354-6480 | |
(276) 685-3108 | |
Not Available |
Full Name | Gay Alesia Holbrook |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 228 Trump Dr, Marion, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396084026 | NPI | - | NPPES |
1255365599 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701005393 (Virginia) | Primary |
Entity Name | Heatherwood Counseling Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780614594 PECOS PAC ID: 9133100605 Enrollment ID: O20040528001201 |
Mailing Address | Practice Location Address |
---|---|
Gay Alesia Holbrook, LPC 228 Trump Dr, Marion, VA 24354-6480 Ph: (276) 685-3108 | Gay Alesia Holbrook, LPC 228 Trump Dr, Marion, VA 24354-6480 Ph: (276) 685-3108 |
Joshua Richardson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1590 N Main St, Marion, VA 24354 Phone: 276-783-8185 | |
Cassandra Eden Untiedt, LPC Counselor Medicare: Medicare Enrolled Practice Location: 216 Hospital Ave, Marion, VA 24354 Phone: 276-783-8185 Fax: 276-783-5030 | |
James Rodney Roberts, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 E Main St, Marion, VA 24354 Phone: 276-783-8185 | |
Tracy Michelle Carter Robinson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 121 Broad St, Marion, VA 24354 Phone: 276-781-5900 Fax: 276-782-9153 | |
Phillip Howard Moser Ii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 216 Hospital Ave, Marion, VA 24354 Phone: 276-783-8185 Fax: 276-783-5030 | |
Leah Elizabeth Jackson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 216 Hospital Ave, Marion, VA 24354 Phone: 276-783-8185 Fax: 276-783-5030 |