Mrs Dana M Lyon, LPC | |
9228 George Washington Memorial Hwy, Gloucester, VA 23061-4162 | |
(804) 693-5057 | |
(804) 693-7407 |
Full Name | Mrs Dana M Lyon |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 9228 George Washington Memorial Hwy, Gloucester, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609102193 | NPI | - | NPPES |
1497717615 | Medicaid | VA | |
294721 | Other | VA | VALUE OPTIONS |
1497717615 | Other | VA | VIRGINIA PREMIER MEDICAID HMO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701004659 (Virginia) | Primary |
Entity Name | Genesis Counseling Center, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164451399 PECOS PAC ID: 8729091715 Enrollment ID: O20060714000217 |
Mailing Address | Practice Location Address |
---|---|
Mrs Dana M Lyon, LPC 9228 George Washington Memorial Hwy, Gloucester, VA 23061-4162 Ph: (804) 693-5057 | Mrs Dana M Lyon, LPC 9228 George Washington Memorial Hwy, Gloucester, VA 23061-4162 Ph: (804) 693-5057 |
Miriam Mackillop, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9228 George Washington Memorial Hwy, Gloucester, VA 23061 Phone: 804-695-8120 Fax: 804-695-8122 | |
Sarah Mccarthy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7296 York Avenue, Gloucester, VA 23061 Phone: 804-695-2557 | |
Amanda J Ward, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6810 Teagle Ln, Gloucester, VA 23061 Phone: 804-210-1104 | |
Mrs. Deborah W Richardson, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 9228 George Washington Memorial Hwy, Gloucester, VA 23061 Phone: 804-695-8119 Fax: 804-695-8122 | |
Sarah Sanders, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9228 George Washington Memorial Hwy, Gloucester, VA 23061 Phone: 804-695-8120 Fax: 804-695-8122 | |
Danielle Cauley, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9228 George Washington Memorial Hwy, Gloucester, VA 23061 Phone: 804-695-8131 | |
Mr. Rodney Levi Willoughby, BA-CSAC-QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 8180 Hamilton Dr, Gloucester, VA 23061 Phone: 804-824-2300 |