Mr Zackary Terry Hawks, MA | |
414 W Lebanon St, Mount Airy, NC 27030-2954 | |
(336) 789-9492 | |
Not Available |
Full Name | Mr Zackary Terry Hawks |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 414 W Lebanon St, Mount Airy, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164776118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | A9635 (North Carolina) | Primary |
Entity Name | Easter Seals Ucp North Carolina & Virginia Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306167713 PECOS PAC ID: 7618161407 Enrollment ID: O20101105000534 |
Mailing Address | Practice Location Address |
---|---|
Mr Zackary Terry Hawks, MA 162 Rabbit Hill Ln, Mount Airy, NC 27030-5484 Ph: (336) 710-0046 | Mr Zackary Terry Hawks, MA 414 W Lebanon St, Mount Airy, NC 27030-2954 Ph: (336) 789-9492 |
Kristy L Silman, LMHC, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 270 Johnson Creek Rd, Mount Airy, NC 27030 Phone: 336-756-7026 | |
Michelle J Hawks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 154 N Renfro St, Mount Airy, NC 27030 Phone: 336-528-1859 | |
Jacob Long, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 149 Gene Hill Rd, Mount Airy, NC 27030 Phone: 336-553-8147 | |
Debra Allison Smeltzer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 847 W Lake Dr, Mount Airy, NC 27030 Phone: 704-939-1100 | |
Ritchie D Puckett, LCAS-A Counselor Medicare: Medicare Enrolled Practice Location: 847 W Lake Dr, Mount Airy, NC 27030 Phone: 336-783-6919 | |
Stephanie Puckett, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 414 W Lebanon St, Mount Airy, NC 27030 Phone: 336-789-9492 Fax: 336-789-9587 | |
Amanda Fields Moncus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 847 W Lake Dr, Mount Airy, NC 27030 Phone: 704-939-1100 |