Ms Lateshia Ann Gilliam, LPC | |
102 E Hicks St Ste 100, Lawrenceville, VA 23868-1830 | |
(434) 253-5617 | |
Not Available |
Full Name | Ms Lateshia Ann Gilliam |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 102 E Hicks St Ste 100, Lawrenceville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841968708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701010711 (Virginia) | Primary |
Entity Name | Crossroads Services Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528091063 PECOS PAC ID: 4486649977 Enrollment ID: O20040415000364 |
Mailing Address | Practice Location Address |
---|---|
Ms Lateshia Ann Gilliam, LPC 102 E Hicks St Ste 100, Lawrenceville, VA 23868-1830 Ph: (434) 253-5617 | Ms Lateshia Ann Gilliam, LPC 102 E Hicks St Ste 100, Lawrenceville, VA 23868-1830 Ph: (434) 253-5617 |
Sharon Wynn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 E Hicks St Ste 105, Lawrenceville, VA 23868 Phone: 434-313-9689 Fax: 804-373-8118 | |
Aliyah Green, Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 E Hicks St, Lawrenceville, VA 23868 Phone: 434-313-9689 Fax: 804-373-8118 | |
Holton Ariel Daniel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 233 N Main St Ste B, Lawrenceville, VA 23868 Phone: 434-532-1272 | |
Jessica Courtney Ashley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 E Hicks St Ste 200, Lawrenceville, VA 23868 Phone: 434-532-8214 Fax: 434-532-8215 | |
Jena Hayes Pulliam, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1648 Lawrenceville Plank Rd, Lawrenceville, VA 23868 Phone: 434-848-4661 | |
Miss Taishana Powell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Nakia Ln, Lawrenceville, VA 23868 Phone: 434-637-5040 |