Mrs Kimberly Dawn Carroll, MA | |
220 Clay Dr, Pounding Mill, VA 24637-4320 | |
(276) 963-3606 | |
Not Available |
Full Name | Mrs Kimberly Dawn Carroll |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 220 Clay Dr, Pounding Mill, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225532062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701007460 (Virginia) | Primary |
Entity Name | Propel Counseling Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447866751 PECOS PAC ID: 6709224710 Enrollment ID: O20240409003485 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kimberly Dawn Carroll, MA 3855 Dc Caney Ridge Rd, Clintwood, VA 24228-7861 Ph: (276) 393-2367 | Mrs Kimberly Dawn Carroll, MA 220 Clay Dr, Pounding Mill, VA 24637-4320 Ph: (276) 963-3606 |
Jerry Dwayne Sturgill, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Clay Dr, Pounding Mill, VA 24637 Phone: 276-963-3606 Fax: 276-963-3747 | |
Heather Lynch, LPC Counselor Medicare: Medicare Enrolled Practice Location: 220 Clay Dr, Pounding Mill, VA 24637 Phone: 276-963-3606 | |
Ashley N Keene, Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Clay Dr, Pounding Mill, VA 24637 Phone: 276-963-3606 Fax: 276-963-3747 | |
Robin Jillian Lester, Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Clay Dr, Pounding Mill, VA 24637 Phone: 276-963-3606 | |
Audra Beth Brown, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Clay Dr, Pounding Mill, VA 24637 Phone: 304-887-8889 | |
Jennifer Brooke Sarver, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Clay Dr, Pounding Mill, VA 24637 Phone: 276-963-3606 |