Mr George R Headley, is a
Counselor - Addiction (substance Use Disorder) based in Spring Grove, Virginia. Mr George R Headley is licensed to practice in * (Not Available) (license number 070453258) and his current practice location is
35 Queensway Ln Apt 34, Spring Grove, Virginia. He can be reached at his office (for appointments etc.) via phone at
(347) 559-8057.
NPI number for Mr George R Headley is 1093384919 and his current mailing address is 35 Queensway Ln Apt 34, Spring Grove, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093384919.
Healthcare Provider's Profile
| Full Name | Mr George R Headley |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 35 Queensway Ln Apt 34, Spring Grove, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093384919
- Provider Enumeration Date: 06/24/2021
- Last Update Date: 06/24/2021
Medical Identifiers
Medical identifiers for Mr George R Headley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093384919 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 070453258 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr George R Headley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr George R Headley,
35 Queensway Ln Apt 34,
Spring Grove, VA 23881-7764
Ph: () - | Mr George R Headley,
35 Queensway Ln Apt 34,
Spring Grove, VA 23881-7764
Ph: (347) 559-8057 |
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