Heather Trail, LPC | |
770 W Ridge Rd, Wytheville, VA 24382-1187 | |
(276) 223-3200 | |
(276) 223-0617 |
Full Name | Heather Trail |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 770 W Ridge Rd, Wytheville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316271752 | NPI | - | NPPES |
004945298 | Medicaid | VA | |
1316271752 | Other | ANTHEM | |
430712 | Other | VA | MHN TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0701004655 (Virginia) | Primary |
Entity Name | Talkspace Provider Network Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639814049 PECOS PAC ID: 5799136701 Enrollment ID: O20240216002694 |
Mailing Address | Practice Location Address |
---|---|
Heather Trail, LPC 770 W Ridge Rd, Wytheville, VA 24382-1187 Ph: (276) 223-3200 | Heather Trail, LPC 770 W Ridge Rd, Wytheville, VA 24382-1187 Ph: (276) 223-3200 |
Lacey Colleen Pickett, M.S, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 W Main St, Wytheville, VA 24382 Phone: 276-223-3291 Fax: 276-223-3249 | |
Laura Beth Pack, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 W Ridge Rd, Wytheville, VA 24382 Phone: 276-223-3201 Fax: 276-625-0117 | |
Michelle Lavonne Farmer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 W Main St, Wytheville, VA 24382 Phone: 276-223-3291 | |
Elizabeth Victoria Felts, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 W Main St Ste 2, Wytheville, VA 24382 Phone: 276-594-1202 Fax: 276-228-6064 | |
Joy Loree Simmons, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 W Main St, Wytheville, VA 24382 Phone: 276-335-2243 Fax: 276-228-6064 | |
Ms. Mary Sue Scott, NCC, LMFT, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 E Main St, Suite B, Wytheville, VA 24382 Phone: 276-223-4443 Fax: 276-223-0133 | |
Martha Luper, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 W Ridge Rd, Wytheville, VA 24382 Phone: 276-223-3200 Fax: 276-223-0617 |