William Ryan Mccoull, LPC, LSATP | |
106 Vista Heights Dr, Ruckersville, VA 22968-9510 | |
(804) 723-6463 | |
(804) 482-0911 |
Full Name | William Ryan Mccoull |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 106 Vista Heights Dr, Ruckersville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235607540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701007443 (Virginia) | Primary |
Entity Name | Mindful Innovations Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194422907 PECOS PAC ID: 6305387499 Enrollment ID: O20240917000477 |
Mailing Address | Practice Location Address |
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William Ryan Mccoull, LPC, LSATP 106 Vista Heights Dr, Ruckersville, VA 22968-9510 Ph: (804) 723-6463 | William Ryan Mccoull, LPC, LSATP 106 Vista Heights Dr, Ruckersville, VA 22968-9510 Ph: (804) 723-6463 |
Jordan Dare Wilson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8767 Seminole Trl Ste 101, Ruckersville, VA 22968 Phone: 434-990-1744 Fax: 434-939-9401 | |
Kristen Macneill Kern, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 8767 Seminole Trl Ste 101, Ruckersville, VA 22968 Phone: 434-990-1744 Fax: 434-939-9401 | |
Dr. Rodney Dale Kibler, PHD, LSP,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 743 Welsh Run Rd, Ruckersville, VA 22968 Phone: 434-960-0998 | |
Crystal D Myers, LPC Counselor Medicare: Medicare Enrolled Practice Location: 8767 Seminole Trl Ste 201b, Ruckersville, VA 22968 Phone: 434-990-1744 | |
Amy Kennel, LPC Counselor Medicare: Medicare Enrolled Practice Location: 8767 Seminole Trl Ste 101, Ruckersville, VA 22968 Phone: 434-990-1744 Fax: 434-939-9401 | |
Tabitha Monique Woodson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 8767 Seminole Trl Ste 101, Ruckersville, VA 22968 Phone: 434-990-1744 Fax: 434-939-9401 |