Mr Richard Wylie Stephens Iii, | |
8221 Willow Oaks Corporate Dr, Fairfax, VA 22031-4512 | |
(703) 383-8500 | |
Not Available |
Full Name | Mr Richard Wylie Stephens Iii |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 8221 Willow Oaks Corporate Dr, Fairfax, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871182428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0704010432 (Virginia) | Primary |
Entity Name | Fairfax County, Virginia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154356244 PECOS PAC ID: 9739136847 Enrollment ID: O20210319001688 |
Mailing Address | Practice Location Address |
---|---|
Mr Richard Wylie Stephens Iii, 10513 Judicial Dr Ste 201, Fairfax, VA 22030-7528 Ph: (770) 744-2425 | Mr Richard Wylie Stephens Iii, 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031-4512 Ph: (703) 383-8500 |
Ms. Saundra Kay Ladd, LPC, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 10195 Main St, Suite N, Fairfax, VA 22031 Phone: 703-591-9600 | |
Erika Lanette Portillo, M.ED, LMHP-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 3541 Chain Bridge Rd Ste 204, Fairfax, VA 22030 Phone: 703-218-6599 Fax: 703-218-2012 | |
Zaria Hardy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3930 Walnut St Ste 250, Fairfax, VA 22030 Phone: 703-782-3710 | |
Laura Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13130 Maltese Ln, Fairfax, VA 22033 Phone: 571-317-1597 | |
Autumn Mcdonald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3915 Old Lee Hwy Ste 23a, Fairfax, VA 22030 Phone: 757-942-5140 | |
Margaret Maxwell, RESIDENT COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 9677 Main St # A-b, Fairfax, VA 22031 Phone: 202-964-1209 | |
Kelly Bauer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11200 Waples Mill Rd, Suite 180, Fairfax, VA 22030 Phone: 703-383-8333 Fax: 703-383-3183 |