Shelly Marie Rodgers, LPC | |
6465 College Park Sq Ste 300, Va Beach, VA 23464-3622 | |
(757) 351-0057 | |
(757) 351-6890 |
Full Name | Shelly Marie Rodgers |
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Gender | Female |
Speciality | Counselor |
Location | 6465 College Park Sq Ste 300, Va 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 |
---|---|---|---|
1790567394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 0701012778 (Virginia) | Primary |
Entity Name | Ict Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619340858 PECOS PAC ID: 2163964925 Enrollment ID: O20240607001250 |
Mailing Address | Practice Location Address |
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Shelly Marie Rodgers, LPC 6465 College Park Sq Ste 300, Va Beach, VA 23464-3622 Ph: (757) 351-0057 | Shelly Marie Rodgers, LPC 6465 College Park Sq Ste 300, Va Beach, VA 23464-3622 Ph: (757) 351-0057 |
Dr. Michael A Barton, PHD LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 933 First Colonial Rd Ste. 200, Va Beach, VA 23454 Phone: 757-306-4232 Fax: 757-306-4235 | |
Natalie Mccorey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 Investors Pl Ste 106, Va Beach, VA 23452 Phone: 757-309-4688 Fax: 757-309-4699 | |
Alfred Bridges, Counselor Medicare: Not Enrolled in Medicare Practice Location: 940 General Booth Blvd, Va Beach, VA 23451 Phone: 757-425-3616 | |
Candace Lavern Green, RESIDENT Counselor Medicare: Not Enrolled in Medicare Practice Location: 291 Independence Blvd Bldg 4, Va Beach, VA 23462 Phone: 757-593-9971 | |
Loretta A Duncan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1147 Independence Blvd, Va Beach, VA 23455 Phone: 757-460-1207 Fax: 757-460-2136 |