Mrs Sandra Bernadine Vance, MED, LPC, NCC | |
174 Lmamh Center Road, Logan, WV 25601-0176 | |
(304) 792-7130 | |
(304) 792-7146 |
Full Name | Mrs Sandra Bernadine Vance |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 174 Lmamh Center Road, Logan, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174008239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2364 (West Virginia) | Primary |
Entity Name | Logan Mingo Area Mental Health, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346395035 PECOS PAC ID: 0840240362 Enrollment ID: O20050124000168 |
Entity Name | Logan Mingo Area Mental Health, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427522218 PECOS PAC ID: 0840240362 Enrollment ID: O20190620002377 |
Mailing Address | Practice Location Address |
---|---|
Mrs Sandra Bernadine Vance, MED, LPC, NCC 300 Prosperity Lane, Suite #204, Po Box 176, Logan, WV 25601-3743 Ph: (304) 792-7130 | Mrs Sandra Bernadine Vance, MED, LPC, NCC 174 Lmamh Center Road, Logan, WV 25601-0176 Ph: (304) 792-7130 |
Bradley Barnett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 312 Hudgins St, Logan, WV 25601 Phone: 304-896-5001 | |
Amber M Clay, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 174 Lmah Center Rd, Logan, WV 25601 Phone: 304-792-7130 Fax: 304-896-5184 | |
Rachel Ball, M.ED., NCC., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Hudgins St, Logan, WV 25601 Phone: 304-752-7830 Fax: 304-752-7832 | |
Wendi Leann Watts, M.ED. COUNSELING Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Hudgins St, Logan, WV 25601 Phone: 304-752-7830 | |
Brandon Scott Bailey, LPC Counselor Medicare: Medicare Enrolled Practice Location: 557 Main St, Logan, WV 25601 Phone: 304-896-5001 | |
Ronni Beth Vance, M.ED , NCC,LPC #2578 Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Dingess St, Logan, WV 25601 Phone: 304-688-9269 |