Tara Jill Null, LPC, CSAC | |
353 Falls Dr Nw, Abingdon, VA 24210-8093 | |
(276) 258-5921 | |
Not Available |
Full Name | Tara Jill Null |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 353 Falls Dr Nw, Abingdon, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043789209 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 0710103240 (Virginia) | Secondary |
101YP2500X | Counselor - Professional | 0701010215 (Virginia) | Primary |
Entity Name | Starting Point Of Virginia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760949127 PECOS PAC ID: 9931535820 Enrollment ID: O20200213000787 |
Mailing Address | Practice Location Address |
---|---|
Tara Jill Null, LPC, CSAC 353 Falls Dr Nw, Abingdon, VA 24210-8093 Ph: (276) 258-5921 | Tara Jill Null, LPC, CSAC 353 Falls Dr Nw, Abingdon, VA 24210-8093 Ph: (276) 258-5921 |
Charles Zachary Thompson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 610 Campus Dr, Abingdon, VA 24210 Phone: 276-525-1550 Fax: 276-525-1609 | |
Mrs. Kandace Leanne Miller Phillips, BS CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Campus Dr, Abingdon, VA 24210 Phone: 276-525-1550 Fax: 276-525-1609 | |
Lorri Stiles, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Campus Dr, Abingdon, VA 24210 Phone: 276-525-1550 Fax: 276-525-1609 | |
Camille Hoffman Kingsolver, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Campus Dr, Abingdon, VA 24210 Phone: 276-525-1550 Fax: 276-525-1609 | |
Brittany Krackow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 966 W Main St Ste 1, Abingdon, VA 24210 Phone: 276-207-8211 | |
April Foster, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Campus Dr, Abingdon, VA 24210 Phone: 276-525-1550 Fax: 276-525-1609 |