Ms Angela Poythress, LPC | |
523 Madison St., Boydton, VA 23917 | |
(434) 738-0154 | |
(434) 572-4881 |
Full Name | Ms Angela Poythress |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 523 Madison St., Boydton, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588678098 | NPI | - | NPPES |
O89322M | Other | VA | SENTARA |
522666 | Other | VA | VALUE OPTIONS |
1700890761 - GR. NPI | Medicaid | VA | |
185980 | Other | VA | ANTHEM - HALIFAX |
185982 | Other | VA | ANTHEM - MECK |
185984 | Other | VA | ANTHEM - BRUNS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0701002935 (Virginia) | Primary |
Entity Name | Sondermind Provider Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210331001144 |
Mailing Address | Practice Location Address |
---|---|
Ms Angela Poythress, LPC Po Box 1478, Clarksville, VA 23927-1478 Ph: (434) 572-6916 | Ms Angela Poythress, LPC 523 Madison St., Boydton, VA 23917 Ph: (434) 738-0154 |
T'onna Logan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1897 Ridge Rd, Boydton, VA 23917 Phone: 434-210-8264 | |
Laura Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 450 Washington Street, Boydton, VA 23917 Phone: 434-738-0406 | |
Emily Spence, Counselor Medicare: Not Enrolled in Medicare Practice Location: 450 Washington Street, Boydton, VA 23917 Phone: 434-738-0406 Fax: 434-738-0409 | |
Makayla Bing, Counselor Medicare: Medicare Enrolled Practice Location: 450 Washington St., Boydton, VA 23917 Phone: 434-738-0406 | |
Linda Ray Montgomery, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 Washington Street, Boydton, VA 23970 Phone: 434-738-6102 Fax: 434-738-6982 |