Ms Tracey Elaine Groux, LPC | |
23164 Dragoon Rd, Lignum, VA 22726-2036 | |
(540) 399-1926 | |
Not Available |
Full Name | Ms Tracey Elaine Groux |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 23164 Dragoon Rd, Lignum, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316379282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0701002966 (Virginia) | Primary |
Entity Name | Brightside Medical Of Michigan Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144800350 PECOS PAC ID: 9830562776 Enrollment ID: O20230906001711 |
Mailing Address | Practice Location Address |
---|---|
Ms Tracey Elaine Groux, LPC 23164 Dragoon Rd, Lignum, VA 22726-2036 Ph: (540) 399-1926 | Ms Tracey Elaine Groux, LPC 23164 Dragoon Rd, Lignum, VA 22726-2036 Ph: (540) 399-1926 |
Zari Encarnacion-white, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23164 Dragoon Rd, Lignum, VA 22726 Phone: 540-399-1926 | |
Lindsay Jankowski, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23164 Dragoon Rd, Lignum, VA 22726 Phone: 540-423-1720 | |
Ayla Vitalia Mendez, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 23164 Dragoon Rd, Lignum, VA 22726 Phone: 540-399-1926 | |
Ayo Morries, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23248 Lignum Rd, Lignum, VA 22726 Phone: 540-219-6524 | |
Gloria Setterlund, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23164 Dragoon Rd, Lignum, VA 22726 Phone: 703-208-1539 Fax: 703-208-1539 |