Tiffany Marie Jackson, | |
20566 Timberlake Rd Ste A, Lynchburg, VA 24502-7221 | |
(434) 239-4400 | |
Not Available |
Full Name | Tiffany Marie Jackson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 20566 Timberlake Rd Ste A, Lynchburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205400397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20171025002417 |
Mailing Address | Practice Location Address |
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Tiffany Marie Jackson, 198 Ellen Dr, Evington, VA 24550-3587 Ph: (757) 955-5968 | Tiffany Marie Jackson, 20566 Timberlake Rd Ste A, Lynchburg, VA 24502-7221 Ph: (434) 239-4400 |
Mrs. Erin Sheetz Mace, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3723 Old Forest Road, Suite A, Lynchburg, VA 24501 Phone: 434-528-9711 Fax: 434-528-9711 | |
Latasha Nicole Hubbard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 233 Stoneridge St, Lynchburg, VA 24501 Phone: 434-942-7418 | |
Mr. Robert Dewane Clements Ii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Hexham Dr, Lynchburg, VA 24502 Phone: 434-237-2655 | |
Anna Rose Kometer, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3712 Old Forest Rd Ste 400, Lynchburg, VA 24501 Phone: 434-460-6650 | |
Martha Lee Cashel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1621 Enterprise Dr, Lynchburg, VA 24502 Phone: 434-376-2006 Fax: 434-239-4955 | |
Jason Wright, PH. D Counselor Medicare: Not Enrolled in Medicare Practice Location: 2811 Linkhorne Dr, Suite B, Lynchburg, VA 24503 Phone: 434-384-1594 | |
Amanda Kirk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 371 Oakdale Cir, Lynchburg, VA 24502 Phone: 434-237-2655 |