Ronald Smith, PHD, LPC | |
20 W Bank St, Petersburg, VA 23803-3279 | |
(804) 862-8023 | |
Not Available |
Full Name | Ronald Smith |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 20 W Bank St, Petersburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174008619 | NPI | - | NPPES |
30017646290001 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701007760 (Virginia) | Primary |
Entity Name | Commonwealth Counseling Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851345805 PECOS PAC ID: 0941288583 Enrollment ID: O20040710000183 |
Mailing Address | Practice Location Address |
---|---|
Ronald Smith, PHD, LPC 20 W Bank St, Petersburg, VA 23803-3279 Ph: (804) 862-8023 | Ronald Smith, PHD, LPC 20 W Bank St, Petersburg, VA 23803-3279 Ph: (804) 862-8023 |
Charita Threatt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Holly Hill Dive, Petersburg, VA 23805 Phone: 804-733-8847 | |
Titoni Levon Crenshaw, QMHP, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2825 S Crater Rd, Petersburg, VA 23805 Phone: 804-712-3546 | |
Alexandrea J Jackson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Poplar Dr, Petersburg, VA 23805 Phone: 804-733-6874 Fax: 804-518-1341 | |
Ebony Glynn Walker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Poplar Dr, Petersburg, VA 23805 Phone: 804-733-6874 | |
Ashely Ryan, LPC Counselor Medicare: Medicare Enrolled Practice Location: 20 W Bank St, Suite 5, Petersburg, VA 23803 Phone: 804-863-1689 | |
Mr. Ricky Terrell Norwood Jr., M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 Harrison Creek Blvd Apt 6201, Petersburg, VA 23803 Phone: 804-861-4884 Fax: 804-862-7188 | |
Michael Anthony Thomas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 N Sycamore St, Petersburg, VA 23803 Phone: 804-919-1199 |