Jamie Lyn Squires, | |
7489 Right Flank Rd Ste 330, Mechanicsville, VA 23116-3845 | |
(804) 398-8401 | |
Not Available |
Full Name | Jamie Lyn Squires |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 7489 Right Flank Rd Ste 330, Mechanicsville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215619200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (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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Jamie Lyn Squires, 6921 Osborne Tpke, Henrico, VA 23231-5658 Ph: (804) 426-3005 | Jamie Lyn Squires, 7489 Right Flank Rd Ste 330, Mechanicsville, VA 23116-3845 Ph: (804) 398-8401 |
Mr. David James Rogers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10426 Summer Hill Rd, Mechanicsville, VA 23116 Phone: 804-922-1486 | |
Mr. Jeffrey S Parsons, RESIDENT IN COUNSELI Counselor Medicare: Not Enrolled in Medicare Practice Location: 7308 Hanover Green Dr Ste 300, Mechanicsville, VA 23111 Phone: 804-781-4418 | |
Ms. Jessie Lee Bryant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7301 Hanover Green Dr, Mechanicsville, VA 23111 Phone: 804-874-9929 | |
Mrs. Patricia Crowder Horner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8249 Crown Colony Pkwy, Suite 200, Mechanicsville, VA 23116 Phone: 804-789-1224 Fax: 804-789-9564 | |
Elizabeth Van Gorder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6366 Mechanicsville Tpke Ste 203, Mechanicsville, VA 23111 Phone: 804-398-8401 | |
Mary Polce-lynch, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7515 Right Flank Rd, Mechanicsville, VA 23116 Phone: 804-288-4084 Fax: 804-559-2046 | |
Ms. Sarah Elise Gathright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8021 Lee Davis Rd, Mechanicsville, VA 23111 Phone: 804-723-2270 |