Heather Cashion Frazier, LCMHC; LCASA | |
522 N Main St, Walnut Cove, NC 27052-9247 | |
(336) 753-2655 | |
Not Available |
Full Name | Heather Cashion Frazier |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 522 N Main St, Walnut Cove, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750971081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 23948 (North Carolina) | Secondary |
101YM0800X | Counselor - Mental Health | 13810 (North Carolina) | Primary |
Entity Name | October Road Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144375767 PECOS PAC ID: 3577611433 Enrollment ID: O20090501000491 |
Mailing Address | Practice Location Address |
---|---|
Heather Cashion Frazier, LCMHC; LCASA 522 N Main St, Walnut Cove, NC 27052-9247 Ph: (336) 753-2655 | Heather Cashion Frazier, LCMHC; LCASA 522 N Main St, Walnut Cove, NC 27052-9247 Ph: (336) 753-2655 |
Reinatou Sadou, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 Plant St, Walnut Cove, NC 27052 Phone: 336-536-1024 | |
Linda Faye Staten, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Walnut Cove, NC 27052 Phone: 336-310-6727 | |
Gary Robert Atkins, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 522 N Main St, Walnut Cove, NC 27052 Phone: 336-753-2655 |