Sherry Blackburn, LPC | |
2095 N 4th St, Wytheville, VA 24382-4411 | |
(276) 228-7069 | |
Not Available |
Full Name | Sherry Blackburn |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2095 N 4th St, Wytheville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851175004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701012790 (Virginia) | 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 |
---|---|
Sherry Blackburn, LPC 770 W Ridge Rd, Wytheville, VA 24382-1187 Ph: (276) 223-3200 | Sherry Blackburn, LPC 2095 N 4th St, Wytheville, VA 24382-4411 Ph: (276) 228-7069 |
Lacey Colleen Pickett, M.S, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 W Main St, Wytheville, VA 24382 Phone: 276-223-3291 Fax: 276-223-3249 | |
Laura Beth Pack, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 W Ridge Rd, Wytheville, VA 24382 Phone: 276-223-3201 Fax: 276-625-0117 | |
Michelle Lavonne Farmer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 W Main St, Wytheville, VA 24382 Phone: 276-223-3291 | |
Elizabeth Victoria Felts, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 W Main St Ste 2, Wytheville, VA 24382 Phone: 276-594-1202 Fax: 276-228-6064 | |
Joy Loree Simmons, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 W Main St, Wytheville, VA 24382 Phone: 276-335-2243 Fax: 276-228-6064 | |
Ms. Mary Sue Scott, NCC, LMFT, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 E Main St, Suite B, Wytheville, VA 24382 Phone: 276-223-4443 Fax: 276-223-0133 | |
Martha Luper, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 W Ridge Rd, Wytheville, VA 24382 Phone: 276-223-3200 Fax: 276-223-0617 |