Mrs Susan Allen Ponton, | |
501 N Mecklenburg Ave, South Hill, VA 23970-2024 | |
(434) 447-7447 | |
(434) 447-3057 |
Full Name | Mrs Susan Allen Ponton |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 501 N Mecklenburg Ave, South Hill, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588672893 | NPI | - | NPPES |
010030692 | Medicaid | VA | |
54-1977426 | Other | VA | FEIN (SUB-S ) |
86353M | Other | VA | SENTARA PROVIDER NUMBER |
104658 | Other | VA | ANTHEM PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0701003560 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Susan Allen Ponton, Po Box 809, South Hill, VA 23970-0809 Ph: (434) 447-7447 | Mrs Susan Allen Ponton, 501 N Mecklenburg Ave, South Hill, VA 23970-2024 Ph: (434) 447-7447 |
Prof. Judith Thorpe Shepherd, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 815 Lees Ct, South Hill, VA 23970 Phone: 434-447-5980 | |
Margaret Carolyn Ward-thompson, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 924 W Atlantic St, South Hill, VA 23970 Phone: 434-447-3566 | |
Ms. Emma L Short, LPC, CSOTP Counselor Medicare: Medicare Enrolled Practice Location: 514 E Atlantic St, South Hill, VA 23970 Phone: 434-949-6360 | |
Latonya Fleming, BA/ QMHP-A/C Counselor Medicare: Not Enrolled in Medicare Practice Location: 3661 Plank Rd, South Hill, VA 23970 Phone: 252-673-9771 | |
Miss Ginger Nicole Freeman, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 Chaptico Rd, South Hill, VA 23970 Phone: 434-233-1701 | |
Ms. Tina Louise Bracey, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 South Hill Avenue, South Hill, VA 23970 Phone: 434-584-9434 Fax: 888-722-4701 | |
Brittany A Ponton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 N Mecklenburg Ave, South Hill, VA 23970 Phone: 434-447-7447 |