Rebecca Provost, LPC | |
921 First Colonial Rd Ste 1711, Virginia Beach, VA 23454-3167 | |
(757) 932-8057 | |
Not Available |
Full Name | Rebecca Provost |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 921 First Colonial Rd Ste 1711, Virginia Beach, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013303205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701005979 (Virginia) | Primary |
Entity Name | First Colonial Psychotherapy Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336294479 PECOS PAC ID: 2264334069 Enrollment ID: O20040122000788 |
Mailing Address | Practice Location Address |
---|---|
Rebecca Provost, LPC 3400 Archer Ct, Virginia Beach, VA 23452-5911 Ph: (910) 526-1279 | Rebecca Provost, LPC 921 First Colonial Rd Ste 1711, Virginia Beach, VA 23454-3167 Ph: (757) 932-8057 |
Joy J Sprenkle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2697 International Pkwy, Virginia Beach, VA 23452 Phone: 757-301-7129 Fax: 757-301-7211 | |
Caitlin Cavanaugh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Lynnhaven Rd Ste 308, Virginia Beach, VA 23452 Phone: 757-222-4944 | |
Mr. Samuel James Johnson Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 2524 Hidden Shores Dr Apt 103, Virginia Beach, VA 23454 Phone: 757-235-1811 | |
Cheryl A St John, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 289 Independence Blvd, Suite 138, Virginia Beach, VA 23462 Phone: 757-385-4980 | |
Lydia Steele, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 228 N Lynnhaven Rd Ste 110, Virginia Beach, VA 23452 Phone: 757-340-6100 | |
Frank D Bond, LPC Counselor Medicare: Medicare Enrolled Practice Location: 780 Lynnhaven Pkwy Ste 340, Virginia Beach, VA 23452 Phone: 757-301-8747 |