Shawnta Mcmillon-brown, CSAC, LPC | |
522 S Independence Blvd Ste 102d, Virginia Beach, VA 23452-1149 | |
(757) 497-8702 | |
(757) 497-8736 |
Full Name | Shawnta Mcmillon-brown |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 522 S Independence Blvd Ste 102d, 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 |
---|---|---|---|
1467177170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701012759 (Virginia) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 0710103068 (Virginia) | Secondary |
Entity Name | Riverside Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811910102 PECOS PAC ID: 1557271293 Enrollment ID: O20040517000888 |
Mailing Address | Practice Location Address |
---|---|
Shawnta Mcmillon-brown, CSAC, LPC 303 Michael Selby Dr, Hampton, VA 23666-5037 Ph: (516) 242-7739 | Shawnta Mcmillon-brown, CSAC, LPC 522 S Independence Blvd Ste 102d, Virginia Beach, VA 23452-1149 Ph: (757) 497-8702 |
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 | |
Rebecca Provost, LPC Counselor Medicare: Medicare Enrolled Practice Location: 921 First Colonial Rd Ste 1711, Virginia Beach, VA 23454 Phone: 757-932-8057 | |
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 |