Timothy Dwane Ice, LMFT is a
Marriage & Family Therapist based in Chester, Virginia. Timothy Dwane Ice is licensed to practice in Texas (license number 205379) and his current practice location is
3313 Greenham Dr, Chester, Virginia. He can be reached at his office (for appointments etc.) via phone at
(910) 366-1024.
NPI number for Timothy Dwane Ice is 1962265595 and his current mailing address is 3313 Greenham Dr, Chester, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962265595.
Healthcare Provider's Profile
Full Name | Timothy Dwane Ice |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 3313 Greenham Dr, Chester, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962265595
- Provider Enumeration Date: 02/05/2024
- Last Update Date: 02/05/2024
Medical Identifiers
Medical identifiers for Timothy Dwane Ice such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962265595 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 205379 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy Dwane Ice is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Timothy Dwane Ice, LMFT 3313 Greenham Dr, Chester, VA 23831-7153 Ph: (910) 366-1024 | Timothy Dwane Ice, LMFT 3313 Greenham Dr, Chester, VA 23831-7153 Ph: (910) 366-1024 |
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