Ms Denise Wallace, | |
661 E Main St, Abingdon, VA 24210-2339 | |
(276) 623-9245 | |
(276) 623-1183 |
Full Name | Ms Denise Wallace |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 23 Years |
Location | 661 E Main St, Abingdon, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457754699 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0904007863 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Highlands Community Services | 8123014966 | 17 |
Entity Name | Highlands Community Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396774147 PECOS PAC ID: 8123014966 Enrollment ID: O20040426000408 |
Mailing Address | Practice Location Address |
---|---|
Ms Denise Wallace, 661 E Main St, Abingdon, VA 24210-2339 Ph: (276) 623-9245 | Ms Denise Wallace, 661 E Main St, Abingdon, VA 24210-2339 Ph: (276) 623-9245 |
Charles Zachary Thompson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 610 Campus Dr, Abingdon, VA 24210 Phone: 276-525-1550 Fax: 276-525-1609 | |
Tara Jill Null, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 353 Falls Dr Nw, Abingdon, VA 24210 Phone: 276-258-5921 | |
Mrs. Kandace Leanne Miller Phillips, BS CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Campus Dr, Abingdon, VA 24210 Phone: 276-525-1550 Fax: 276-525-1609 | |
Lorri Stiles, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Campus Dr, Abingdon, VA 24210 Phone: 276-525-1550 Fax: 276-525-1609 | |
Camille Hoffman Kingsolver, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Campus Dr, Abingdon, VA 24210 Phone: 276-525-1550 Fax: 276-525-1609 | |
Brittany Krackow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 966 W Main St Ste 1, Abingdon, VA 24210 Phone: 276-207-8211 | |
April Foster, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Campus Dr, Abingdon, VA 24210 Phone: 276-525-1550 Fax: 276-525-1609 |