Mr Anthony Dewayne Quarles Jr, | |
664 Lincoln St., Portsmouth, VA 23704 | |
(757) 397-0042 | |
(757) 447-6240 |
Full Name | Mr Anthony Dewayne Quarles Jr |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 664 Lincoln St., Portsmouth, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366954570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Portsmouth Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134199193 PECOS PAC ID: 1052301835 Enrollment ID: O20040513001366 |
Mailing Address | Practice Location Address |
---|---|
Mr Anthony Dewayne Quarles Jr, 9558 21st Bay St, Norfolk, VA 23518-1607 Ph: (812) 430-8757 | Mr Anthony Dewayne Quarles Jr, 664 Lincoln St., Portsmouth, VA 23704 Ph: (757) 397-0042 |
Tiffany Renee Smith-lagerberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 Roanoke Ave, Portsmouth, VA 23704 Phone: 757-575-4456 | |
Ms. Maxine Cecilia Green, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1634 London Blvd, Portsmouth, VA 23704 Phone: 757-393-7200 | |
Angela Callahan, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Washington St, Portsmouth, VA 23704 Phone: 757-372-7868 Fax: 757-419-5365 | |
Nicole Billingslea, QMHP-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 348 Washington St Apt 5, Portsmouth, VA 23704 Phone: 716-450-7770 | |
Karen L Mckinley, PSY D LCSW LMFT Counselor Medicare: Accepting Medicare Assignments Practice Location: 3300 Academy Ave, Academy Crossing Medical Plaza, Portsmouth, VA 23703 Phone: 757-483-6404 Fax: 757-483-0737 | |
Ms. Kawanna Evette Ward, LCSW, CSAC, CSOTP Counselor Medicare: Accepting Medicare Assignments Practice Location: 1634 London Blvd, Portsmouth, VA 23704 Phone: 757-966-1889 | |
Meagan Elise Graham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Fort Ln, Portsmouth, VA 23704 Phone: 757-391-5909 |