Mr Kenneth Phillip Roach, MA | |
2215 Langhorne Rd, Lynchburg, VA 24501-1121 | |
(434) 948-4831 | |
Not Available |
Full Name | Mr Kenneth Phillip Roach |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 2215 Langhorne Rd, Lynchburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992389548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701010427 (Virginia) | Primary |
Entity Name | Horizon Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871542340 PECOS PAC ID: 5092791814 Enrollment ID: O20040624000675 |
Mailing Address | Practice Location Address |
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Mr Kenneth Phillip Roach, MA 2215 Langhorne Rd, Lynchburg, VA 24501-1121 Ph: (434) 948-4831 | Mr Kenneth Phillip Roach, MA 2215 Langhorne Rd, Lynchburg, VA 24501-1121 Ph: (434) 948-4831 |
Mrs. Erin Sheetz Mace, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3723 Old Forest Road, Suite A, Lynchburg, VA 24501 Phone: 434-528-9711 Fax: 434-528-9711 | |
Latasha Nicole Hubbard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 233 Stoneridge St, Lynchburg, VA 24501 Phone: 434-942-7418 | |
Mr. Robert Dewane Clements Ii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Hexham Dr, Lynchburg, VA 24502 Phone: 434-237-2655 | |
Anna Rose Kometer, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3712 Old Forest Rd Ste 400, Lynchburg, VA 24501 Phone: 434-460-6650 | |
Martha Lee Cashel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1621 Enterprise Dr, Lynchburg, VA 24502 Phone: 434-376-2006 Fax: 434-239-4955 | |
Jason Wright, PH. D Counselor Medicare: Not Enrolled in Medicare Practice Location: 2811 Linkhorne Dr, Suite B, Lynchburg, VA 24503 Phone: 434-384-1594 | |
Amanda Kirk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 371 Oakdale Cir, Lynchburg, VA 24502 Phone: 434-237-2655 |