Mrs Kristen Thompson Edwards, PHD, LPC | |
622 6th Ave E, Big Stone Gap, VA 24219-2408 | |
(423) 833-8120 | |
Not Available |
Full Name | Mrs Kristen Thompson Edwards |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 622 6th Ave E, Big Stone Gap, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487329686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701013661 (Virginia) | Primary |
101YM0800X | Counselor - Mental Health | 4824 (Tennessee) | Secondary |
Entity Name | New Life Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114462215 PECOS PAC ID: 9436434909 Enrollment ID: O20170323002169 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kristen Thompson Edwards, PHD, LPC 622 6th Ave E, Big Stone Gap, VA 24219-2408 Ph: (423) 833-8120 | Mrs Kristen Thompson Edwards, PHD, LPC 622 6th Ave E, Big Stone Gap, VA 24219-2408 Ph: (423) 833-8120 |
Mr. Mark Harrison Wade, LPC CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3169 2nd Ave E, Big Stone Gap, VA 24219 Phone: 276-523-8300 Fax: 276-523-6964 | |
Mr. James Dale Kegley, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3169 2nd Avenue East, Big Stone Gap, VA 24219 Phone: 276-523-8315 Fax: 276-523-6964 | |
Whitney B Trinkle, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 43 Champions Ave, Big Stone Gap, VA 24219 Phone: 276-523-8300 | |
Mrs. Deborah Lynn Skorupa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 622 Powell Ave, Developmental Services, Big Stone Gap, VA 24219 Phone: 276-523-0682 Fax: 276-523-0684 | |
Sharon Short Shaver, BA Counselor Medicare: Medicare Enrolled Practice Location: 622 Powell Ave E, Big Stone Gap, VA 24219 Phone: 276-523-0682 Fax: 423-467-3644 | |
Claressa Rema Young, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2532 4th Avenue East, Big Stone Gap, VA 24219 Phone: 276-523-4357 Fax: 276-523-2527 | |
Michael Sean Halcomb, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3169 2nd Ave E, Big Stone Gap, VA 24219 Phone: 276-523-8300 Fax: 423-467-3644 |