Mrs Mandy Bass, MA, LPC, NCC | |
14411 Justice Rd Ste B, Midlothian, VA 23113-6907 | |
(434) 962-9730 | |
(276) 597-5158 |
Full Name | Mrs Mandy Bass |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 14411 Justice Rd Ste B, Midlothian, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396386025 | NPI | - | NPPES |
601448936 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701008636 (Virginia) | Primary |
Entity Name | Rubicon Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912592957 PECOS PAC ID: 4385084417 Enrollment ID: O20240506003638 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mandy Bass, MA, LPC, NCC 17000 Old Westridge Dr, Moseley, VA 23120-2340 Ph: (434) 962-9730 | Mrs Mandy Bass, MA, LPC, NCC 14411 Justice Rd Ste B, Midlothian, VA 23113-6907 Ph: (434) 962-9730 |
Catherine Desaussure Ogletree, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2820 Waterford Lake Dr Ste 102, Midlothian, VA 23112 Phone: 894-658-4509 | |
Ms. Lynda Hale Leslie, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1700 Huguenot Rd, Suite D, Midlothian, VA 23113 Phone: 804-263-3775 Fax: 804-325-1670 | |
Mr. Anthony Penn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2625 Colgrave Rd, Midlothian, VA 23112 Phone: 804-301-9219 | |
Tonya Osmond, Counselor Medicare: Medicare Enrolled Practice Location: 13817 Village Mill Dr Unit R, Midlothian, VA 23114 Phone: 804-554-0356 | |
Micah Danielle Smith, Counselor Medicare: Medicare Enrolled Practice Location: 13817 Village Mill Dr Ste R, Midlothian, VA 23114 Phone: 617-379-0496 | |
Julia Wilkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 Lancaster Gate Ln Apt 206, Midlothian, VA 23113 Phone: 804-519-1463 | |
Joshua Freeman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13805 Village Mill Dr Ste 201, Midlothian, VA 23114 Phone: 804-404-6553 |