Mrs Shelley Marie Jordan, LPC | |
155 Deer Run Rd, Danville, VA 24540-2863 | |
(434) 835-4601 | |
Not Available |
Full Name | Mrs Shelley Marie Jordan |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 155 Deer Run Rd, Danville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265145437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701012065 (Virginia) | Primary |
Entity Name | Talkspace Provider Network Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639814049 PECOS PAC ID: 5799136701 Enrollment ID: O20240216002694 |
Mailing Address | Practice Location Address |
---|---|
Mrs Shelley Marie Jordan, LPC 207 Treva Dr Apt 1a, Greensboro, NC 27409-3608 Ph: (434) 334-7314 | Mrs Shelley Marie Jordan, LPC 155 Deer Run Rd, Danville, VA 24540-2863 Ph: (434) 835-4601 |
Anissa Howerton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 W Main St, Danville, VA 24541 Phone: 434-239-0003 | |
Deshauna D Selby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1555 Meadowview Dr, Danville, VA 24541 Phone: 800-805-6989 | |
Ms. Linda Giles, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 753 Main St Ste 1a, Danville, VA 24541 Phone: 434-799-2022 Fax: 434-799-2022 | |
Aja Deyon Harrison, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 Deer Run Rd, Danville, VA 24540 Phone: 434-835-4601 | |
Ms. Patricia Lynn Tompkins Woodson, M.ED.; LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1115 Franklin Tpke, Ak Ferrell Building, Suites 11 & 12, Danville, VA 24540 Phone: 434-836-6689 Fax: 434-685-1543 | |
Sierra Leann Hairston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1555 Meadowview Dr Ste 5, Danville, VA 24541 Phone: 434-685-1570 | |
Chemieka Denise Lovelace, CSAC SUPERVISEE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1555 Meadowview Dr Ste 7, Danville, VA 24541 Phone: 434-483-1545 Fax: 434-685-1470 |