Keleisha Dixon, | |
1300 Sunset Ln Ste 3120, Culpeper, VA 22701-3398 | |
(540) 399-9970 | |
Not Available |
Full Name | Keleisha Dixon |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1300 Sunset Ln Ste 3120, Culpeper, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053930628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701009017 (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 |
---|---|
Keleisha Dixon, Po Box 5612, Fredericksburg, VA 22403-5612 Ph: () - | Keleisha Dixon, 1300 Sunset Ln Ste 3120, Culpeper, VA 22701-3398 Ph: (540) 399-9970 |
Timothy David Irving, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 S East St Ste 100, Culpeper, VA 22701 Phone: 540-227-0505 | |
Morgan Claire Bywaters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 N Main St, Culpeper, VA 22701 Phone: 540-727-0770 | |
Mr. Patrick Lowman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 N Main St, Culpeper, VA 22701 Phone: 540-727-0770 Fax: 540-727-7310 | |
Mr. Orrey Joseph Randall, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 N Main St, Culpeper, VA 22701 Phone: 540-727-0770 Fax: 540-727-0770 | |
Ms. Lillian Carol Arevalo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2015 Cranberry Lane, Culpeper, VA 22701 Phone: 571-226-6405 | |
Mr. Benjamin David Thomson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 650 Laurel St, Culpeper, VA 22701 Phone: 540-825-5656 Fax: 540-808-0591 |