Mr James Randall Martin, LPC | |
2703 Build America Dr, Hampton, VA 23666-3225 | |
(757) 470-7023 | |
Not Available |
Full Name | Mr James Randall Martin |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 2703 Build America Dr, Hampton, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255811634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0701006836 (Virginia) | Secondary |
101YP2500X | Counselor - Professional | 0701006836 (Virginia) | Primary |
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20171025002417 |
Mailing Address | Practice Location Address |
---|---|
Mr James Randall Martin, LPC 2703 Build America Dr, Hampton, VA 23666-3225 Ph: (757) 470-7023 | Mr James Randall Martin, LPC 2703 Build America Dr, Hampton, VA 23666-3225 Ph: (757) 470-7023 |
Ms. Rhyan L Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Corwin Cir, Hampton, VA 23666 Phone: 757-418-2226 | |
Meghan Stringer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 W Kelly Ave, Hampton, VA 23663 Phone: 313-443-7477 | |
Candice S Jenkins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Medical Dr, Hampton, VA 23666 Phone: 757-788-0092 Fax: 757-788-0969 | |
Letitia N Laurien, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2204 Executive Dr, Suite A, Hampton, VA 23666 Phone: 757-644-3989 Fax: 866-813-7798 | |
Anthony Joseph Reese, REGISTERED NURSE Counselor Medicare: Not Enrolled in Medicare Practice Location: 275 W Queen St, Hampton, VA 23669 Phone: 757-374-8591 | |
Chasity Yvette Chambliss, THERAPIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-772-9961 | |
Lena Baker-scott, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 15 Research Dr, Hampton, VA 23666 Phone: 757-570-5312 |