Mary Giencke, LPC | |
609 Independence Pkwy, Suite 115, Chesapeake, VA 23320-5209 | |
(757) 490-0377 | |
Not Available |
Full Name | Mary Giencke |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 609 Independence Pkwy, Chesapeake, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366986259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701006852 (Virginia) | Primary |
Entity Name | Genesis Counseling Center, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164451399 PECOS PAC ID: 8729091715 Enrollment ID: O20060714000217 |
Mailing Address | Practice Location Address |
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Mary Giencke, LPC 609 Independence Pkwy, Suite 115, Chesapeake, VA 23320-5209 Ph: (757) 490-0377 | Mary Giencke, LPC 609 Independence Pkwy, Suite 115, Chesapeake, VA 23320-5209 Ph: (757) 490-0377 |
Mrs. Mercedes Santos-bell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4037 Taylor Rd Ste D, Chesapeake, VA 23321 Phone: 917-406-6763 | |
Ashley Marie Dyer, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2010 Old Greenbrier Rd Ste G, Chesapeake, VA 23320 Phone: 757-493-2912 Fax: 866-730-6583 | |
Katrina A Reeves, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1613 Martin Ave, Chesapeake, VA 23324 Phone: 757-449-8278 | |
Mrs. Sharon Walker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Gammon Trl, Chesapeake, VA 23322 Phone: 757-284-9184 | |
Jessica Renee Cooper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 816 Greenbrier Cir Ste 100, Chesapeake, VA 23320 Phone: 757-694-4723 Fax: 757-301-8803 | |
Mrs. Andrea Rosalind Stephen, LPC IN RESIDENT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3804 Poplar Hill Rd Ste D, Chesapeake, VA 23321 Phone: 757-210-9381 | |
Miss Hillary Simone Zaneveld, LPC CSAC Counselor Medicare: Medicare Enrolled Practice Location: 224 Great Bridge Blvd, City Of Chesap Ta Chesapeake Comm Services Board, Chesapeake, VA 23320 Phone: 757-547-9334 Fax: 757-819-6292 |