Gwendolyn Fisher, | |
6345 Center Dr, Norfolk, VA 23502-4126 | |
(757) 467-8184 | |
Not Available |
Full Name | Gwendolyn Fisher |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 6345 Center Dr, Norfolk, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114681756 | NPI | - | NPPES |
1447345145 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701010919 (Virginia) | Primary |
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20171025002417 |
Mailing Address | Practice Location Address |
---|---|
Gwendolyn Fisher, 934 Norchester Ave, Norfolk, VA 23504-4012 Ph: (757) 651-6128 | Gwendolyn Fisher, 6345 Center Dr, Norfolk, VA 23502-4126 Ph: (757) 467-8184 |
Kelly Patino Trejo, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7931 Fax: 757-668-9132 | |
Sonnee Da'niel Stanley, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 9612 Wells Pkwy, Norfolk, VA 23503 Phone: 304-888-2910 | |
Ruth H Bybee, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6325 N Center Dr Ste 208, Norfolk, VA 23502 Phone: 757-961-3255 Fax: 757-961-3265 | |
Lauren P Jennings, LPC, LMFT, CEAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 N Center Dr Suite 141, Interstate Corporate Center Building 11, Norfolk, VA 23502 Phone: 757-466-0700 Fax: 757-461-4826 | |
Ms. Susan Adams Niedenthal, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6330 Newtown Rd, Suite 300, Norfolk, VA 23502 Phone: 757-466-3336 Fax: 757-455-5750 | |
Jamee Reese, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Tidewater Dr, Ste. A, Norfolk, VA 23504 Phone: 757-533-9242 | |
Rachel Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7460 Central Business Park Dr, Norfolk, VA 23513 Phone: 757-644-6391 |