Lori Ann Petry, | |
25 Mallard Ct, Beckley, WV 25801-3664 | |
(304) 255-7526 | |
(304) 252-2329 |
Full Name | Lori Ann Petry |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 25 Mallard Ct, Beckley, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073378311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2934 (West Virginia) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Entity Name | Life Strategies Counseling Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700837143 PECOS PAC ID: 6002819687 Enrollment ID: O20060821000561 |
Mailing Address | Practice Location Address |
---|---|
Lori Ann Petry, 1504 C And O Dam Rd, Daniels, WV 25832-9649 Ph: (304) 254-4812 | Lori Ann Petry, 25 Mallard Ct, Beckley, WV 25801-3664 Ph: (304) 255-7526 |
Ashley White, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1828 Harper Rd, Beckley, WV 25801 Phone: 043-253-4004 | |
Matthew L Adams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 George St, Beckley, WV 25801 Phone: 681-238-6634 | |
Chermette Wright, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 George St, Beckley, WV 25801 Phone: 681-238-6634 | |
Tanya Renee Ford, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Teel Rd, Beckley, WV 25801 Phone: 304-640-7676 | |
Courtney Elizabeth Yule, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 George St, Beckley, WV 25801 Phone: 681-238-6634 Fax: 681-238-6638 | |
Shereilla Hearn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3875 Robert C Byrd Dr, Beckley, WV 25801 Phone: 304-929-4130 Fax: 304-929-4134 |