Mary Alice Fields, | |
1006 Us Highway 23 N, Weber City, VA 24290-7021 | |
(276) 225-0976 | |
(276) 225-1241 |
Full Name | Mary Alice Fields |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1006 Us Highway 23 N, Weber City, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043507478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 0701005267 (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: O20180531001919 |
Mailing Address | Practice Location Address |
---|---|
Mary Alice Fields, 1167 Spratlin Park Dr, Gray, TN 37615-6205 Ph: (423) 467-3600 | Mary Alice Fields, 1006 Us Highway 23 N, Weber City, VA 24290-7021 Ph: (276) 225-0976 |
Amy Renee Langston, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1006 Us Highway 23 N, Weber City, VA 24290 Phone: 276-225-0976 Fax: 423-467-3644 | |
Mrs. Rachel Lynn Carter, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1006 Us Highway 23 N, Weber City, VA 24290 Phone: 276-225-0976 Fax: 423-467-3644 | |
Joshua Holbrook, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1006 Us Highway 23 North, Weber City, VA 24290 Phone: 276-225-0976 Fax: 423-467-3644 |