Mrs Rosa Jeanene Fisher, LPC | |
116 W Broad St, Blackstone, VA 23824-1710 | |
(434) 264-3209 | |
(434) 264-3224 |
Full Name | Mrs Rosa Jeanene Fisher |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 116 W Broad St, Blackstone, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144712787 | NPI | - | NPPES |
1144712787 | Medicaid | VA | |
0701007685 | Other | VA | LICENSED PROFESSIONAL COUNSELOR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701007685 (Virginia) | Primary |
Entity Name | Blackstone Counseling & Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265924856 PECOS PAC ID: 9335586619 Enrollment ID: O20240321003688 |
Mailing Address | Practice Location Address |
---|---|
Mrs Rosa Jeanene Fisher, LPC Po Box 360, Blackstone, VA 23824-0360 Ph: (434) 264-3209 | Mrs Rosa Jeanene Fisher, LPC 116 W Broad St, Blackstone, VA 23824-1710 Ph: (434) 264-3209 |
Megan Giannini, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 S Main St, Blackstone, VA 23824 Phone: 434-264-3209 | |
Deandra Michelle Oliver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 S Main St, Blackstone, VA 23824 Phone: 434-264-3209 Fax: 434-264-3224 | |
Mrs. Jennifer Bunn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 Church St, Blackstone, VA 23824 Phone: 434-294-7486 | |
Omar Sharif Higgins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 S Main St, Blackstone, VA 23824 Phone: 434-446-5259 |