Nicole Smith, | |
150 N Muhlenberg St, Woodstock, VA 22664-1462 | |
(540) 908-8585 | |
Not Available |
Full Name | Nicole Smith |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 150 N Muhlenberg St, Woodstock, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619699097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 0704014631 (Virginia) | Primary |
Entity Name | Lifebulb Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699491464 PECOS PAC ID: 2062881162 Enrollment ID: O20221213000564 |
Mailing Address | Practice Location Address |
---|---|
Nicole Smith, 316 S Main St, Woodstock, VA 22664-1254 Ph: (540) 908-8585 | Nicole Smith, 150 N Muhlenberg St, Woodstock, VA 22664-1462 Ph: (540) 908-8585 |
Beth Rudy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 147 N Main St, Woodstock, VA 22664 Phone: 540-325-9000 | |
Jennifer Nicole Wimer, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 316 S Main St, Woodstock, VA 22664 Phone: 540-908-8585 | |
Charles Hinshaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 N Muhlenberg St, Woodstock, VA 22664 Phone: 540-878-6826 | |
Catherine Mcglaun Mendoza, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 S Main St, Woodstock, VA 22664 Phone: 540-335-0660 Fax: 540-459-1739 | |
Linda Wheeler Smith, LPC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 N Muhlenberg St, Woodstock, VA 22664 Phone: 540-327-4018 | |
Holly P Markley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 S Muhlenberg St # 442, Woodstock, VA 22664 Phone: 540-895-8180 | |
Ashley Stovall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1231 Susan Ave, Woodstock, VA 22664 Phone: 540-459-5155 |