Mark Martin, LCSW | |
5673 Airport Rd, Roanoke, VA 24012-1119 | |
(540) 523-8080 | |
(540) 512-9775 |
Full Name | Mark Martin |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 5673 Airport Rd, Roanoke, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346490695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0904007708 (Virginia) | Primary |
Entity Name | National Counseling Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881780872 PECOS PAC ID: 9436255205 Enrollment ID: O20150302000024 |
Entity Name | Intercept Youth Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730608217 PECOS PAC ID: 2466748744 Enrollment ID: O20160913001490 |
Mailing Address | Practice Location Address |
---|---|
Mark Martin, LCSW 5673 Airport Rd, Roanoke, VA 24012-1119 Ph: (540) 523-8080 | Mark Martin, LCSW 5673 Airport Rd, Roanoke, VA 24012-1119 Ph: (540) 523-8080 |
Ms. Mary Francis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Summit Way Sw, Roanoke, VA 24014 Phone: 804-370-0058 | |
Paula Therese Krueger, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3208 Hershberger Rd Nw, Roanoke, VA 24017 Phone: 540-227-8426 | |
Iruj Humayun, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3235 Electric Rd Ste 1a, Roanoke, VA 24018 Phone: 855-284-7483 Fax: 617-807-0958 | |
Sir Prell Gross, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3433 Brambleton Ave Ste 201a, Roanoke, VA 24018 Phone: 540-266-7550 Fax: 540-266-7230 | |
Mrs. Amy W Elliott, LPC, LMFT Counselor Medicare: Medicare Enrolled Practice Location: 4656 Brambleton Ave, Roanoke, VA 24018 Phone: 540-772-8043 Fax: 540-772-8242 | |
Mrs. Bethany Lorna Mclemore, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3433 Brambleton Ave, Suite 117b, Roanoke, VA 24018 Phone: 540-725-8824 Fax: 540-725-8826 | |
Thomas Henry Magri, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 Mcdowell Ave Nw, Roanoke, VA 24016 Phone: 540-857-9611 Fax: 540-266-9206 |