Mr James Tavenner, LPC | |
36 Ricketts Dr, Winchester, VA 22601-3676 | |
(540) 535-1112 | |
Not Available |
Full Name | Mr James Tavenner |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 36 Ricketts Dr, Winchester, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689057069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701006211 (Virginia) | Primary |
Entity Name | Psychotherapy Associates Of Winchester |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588656672 PECOS PAC ID: 0840468864 Enrollment ID: O20110719000210 |
Mailing Address | Practice Location Address |
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Mr James Tavenner, LPC 36 Ricketts Dr, Winchester, VA 22601-3676 Ph: (540) 535-1112 | Mr James Tavenner, LPC 36 Ricketts Dr, Winchester, VA 22601-3676 Ph: (540) 535-1112 |
Jennifer Cassidy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Bellview Ave, Winchester, VA 22601 Phone: 540-542-0200 Fax: 540-542-0318 | |
Arkeem Talley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Pegasus Ct, Winchester, VA 22602 Phone: 540-313-4196 | |
Craig Lien, LPC, CCTP, CTMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 Westside Station Dr, Winchester, VA 22601 Phone: 540-594-4357 | |
Julia Showers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Pegasus Ct, Winchester, VA 22602 Phone: 800-805-6989 | |
Alexandra Mackay-smith Keirstead, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 36 Ricketts Dr, Winchester, VA 22601 Phone: 540-535-1112 | |
Ms. Ellen Marie Capone, L.C.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 S Braddock St, Winchester, VA 22601 Phone: 540-678-0807 Fax: 540-678-0807 | |
Arielle Jordan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Pegasus Ct, Winchester, VA 22602 Phone: 540-313-4196 |