Mrs Kristen Leonard Fly, MFT | |
718 J Clyde Morris Blvd, Suite D, Newport News, VA 23601-1540 | |
(757) 912-5359 | |
(757) 595-1885 |
Full Name | Mrs Kristen Leonard Fly |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 718 J Clyde Morris Blvd, Newport News, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548395478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MFTINTERN, IMF 49868 (California) | Secondary |
106H00000X | Marriage & Family Therapist | 0717001230 (Virginia) | Primary |
Entity Name | Fly Family Therapy Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881171668 PECOS PAC ID: 7315377173 Enrollment ID: O20200417001638 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kristen Leonard Fly, MFT 718 J Clyde Morris Blvd, Suite D, Newport News, VA 23601-1540 Ph: (757) 912-5359 | Mrs Kristen Leonard Fly, MFT 718 J Clyde Morris Blvd, Suite D, Newport News, VA 23601-1540 Ph: (757) 912-5359 |
Elease Nichelle Loranger, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 491 Nelson Dr Apt 8, Newport News, VA 23601 Phone: 804-239-0752 | |
Dr. Francis Lanier Fly, D.MIN Couples Therapy Medicare: Medicare Enrolled Practice Location: 718 J Clyde Morris Blvd, Newport News, VA 23601 Phone: 757-873-8566 Fax: 757-873-8566 | |
Mrs. Samantha Breton Ross, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5 Plantation Rd, Newport News, VA 23602 Phone: 914-382-0044 | |
Kavitha Sarah Johnson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10400 Warwick Blvd, Newport News, VA 23601 Phone: 757-596-7938 | |
David P. Gunderlach, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 707 Gum Rock Ct, Newport News, VA 23606 Phone: 757-873-2273 Fax: 757-873-9422 | |
Dr. Roosevelt Brown, DMIN, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 707 Gum Rock Ct, Newport News, VA 23606 Phone: 757-873-2273 Fax: 757-873-9422 | |
Dr. Dorsey Thomas Wessells Jr., ED.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12420 Warwick Blvd, Suite 7-c, Newport News, VA 23606 Phone: 757-595-3900 Fax: 757-595-0649 |