Mr David L Mortellaro, LPC, LMFT | |
4656 Brambleton Ave, Roanoke, VA 24018-3437 | |
(540) 772-8043 | |
(540) 772-8242 |
Full Name | Mr David L Mortellaro |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 4656 Brambleton Ave, 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 |
---|---|---|---|
1851375836 | NPI | - | NPPES |
005400431 | Other | VA | VIRGINIA PREMIER (HMO) |
005400431 | Medicaid | VA | |
297608000 | Other | VA | MAGELLAN |
087620 | Other | VA | SOUTHERN HEALTH/SENTARA |
JOHN DEERE | Other | VA | VA0101 |
018061 | Other | VA | VALUE OPTIONS |
132303 | Other | VA | MANAGED HEALTH NETWORK |
349980 | Other | VA | MAMSI |
285978 | Other | VA | ANTHEM BCBS |
5675123 | Other | VA | AETNA |
69554 | Other | VA | CIGNA BEHAVIORAL HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0701001496 (Virginia) | Primary |
106H00000X | Marriage & Family Therapist | 0717000603 (Virginia) | Secondary |
Entity Name | Associates In Brief Therapy, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033286794 PECOS PAC ID: 3971654005 Enrollment ID: O20090630000362 |
Mailing Address | Practice Location Address |
---|---|
Mr David L Mortellaro, LPC, LMFT 6980 Highfields Farm Cir, Roanoke, VA 24018-5631 Ph: (540) 774-4114 | Mr David L Mortellaro, LPC, LMFT 4656 Brambleton Ave, Roanoke, VA 24018-3437 Ph: (540) 772-8043 |
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 |