Robert Mark Sturdivant, LPC | |
1650 Hwy 18 South, Sparta, NC 28675-8478 | |
(336) 372-4095 | |
(828) 262-5687 |
Full Name | Robert Mark Sturdivant |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1650 Hwy 18 South, Sparta, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962669689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6838 (North Carolina) | Primary |
Entity Name | Mount Rogers Community Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255365599 PECOS PAC ID: 1254387475 Enrollment ID: O20050510001179 |
Mailing Address | Practice Location Address |
---|---|
Robert Mark Sturdivant, LPC 895 State Farm Rd, Suite 508, Boone, NC 28607-4917 Ph: (828) 263-5666 | Robert Mark Sturdivant, LPC 1650 Hwy 18 South, Sparta, NC 28675-8478 Ph: (336) 372-4095 |
Myra Jensen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1650 Highway 18 South, Sparta, NC 28675 Phone: 336-372-4095 | |
Jennifer Gail Billings, Counselor Medicare: Medicare Enrolled Practice Location: 1650 Nc Highway 18 S, Sparta, NC 28675 Phone: 336-372-4095 | |
Meghann Roberts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1650 Highway 18 South, Sparta, NC 28675 Phone: 336-372-4095 | |
Angela Hash Wagoner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1650 Hwy 18 South, Sparta, NC 28675 Phone: 704-939-1100 Fax: 704-939-1173 | |
Princa E Cox, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1650 Highway 18 South, Sparta, NC 28675 Phone: 336-372-4095 Fax: 828-262-5687 | |
Ashley Jordan Parlier, LCMHC,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 450 N Main St, Sparta, NC 28675 Phone: 336-372-5641 | |
Brandi Page Hamm, LCHMC, LCAS Counselor Medicare: Medicare Enrolled Practice Location: 1650 Hwy 18 South, Sparta, NC 28675 Phone: 336-372-4095 Fax: 336-372-2722 |