Michelle Gorden, | |
14689 Lee Hwy, Gainesville, VA 20155-2110 | |
(703) 682-8215 | |
Not Available |
Full Name | Michelle Gorden |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 14689 Lee Hwy, Gainesville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740934181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0704013707 (Virginia) | Secondary |
101YP2500X | Counselor - Professional | 0701012166 (Virginia) | Primary |
Entity Name | Nova Clinical Counseling, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548956196 PECOS PAC ID: 0648616326 Enrollment ID: O20240316000328 |
Mailing Address | Practice Location Address |
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Michelle Gorden, Po Box 645, Gainesville, VA 20156-0645 Ph: (703) 682-8215 | Michelle Gorden, 14689 Lee Hwy, Gainesville, VA 20155-2110 Ph: (703) 682-8215 |
Lorrie Beyerl, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7450 Heritage Village Plaza, Suite 101, Gainesville, VA 20155 Phone: 571-261-1921 Fax: 571-261-1170 | |
Tara Thomas, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 7450 Heritage Village Plz, Suite 101, Gainesville, VA 20155 Phone: 571-261-1921 Fax: 571-261-1170 | |
Megan Smith Mekhail, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7001 Heritage Village Plz Ste 255, Gainesville, VA 20155 Phone: 703-712-1409 | |
Mrs. Monica Chwojdak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7001 Heritage Village Plz, Suite 125, Gainesville, VA 20155 Phone: 571-229-0316 Fax: 571-421-2696 | |
Panayiota Larigakis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7450 Heritage Village Plz Unit 101, Gainesville, VA 20155 Phone: 571-261-1921 | |
Eve Rebecca Radin, LPC, M.ED./ED.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 7520 Gardner Park Dr, Gainesville, VA 20155 Phone: 571-248-2358 Fax: 571-248-2359 | |
Erika Ptak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7440 Heritage Village Plz Ste 102, Gainesville, VA 20155 Phone: 703-994-2828 |