Behavioral Resources Plc | |
134 W Piccadilly Street Winchester VA 22601 | |
(540) 667-1389 | |
(540) 667-1394 |
Full Name | Behavioral Resources Plc |
---|---|
Speciality | Psychologist |
Location | 134 W Piccadilly Street, Winchester, Virginia |
Authorized Official Name and Position | Martin Mayfield (MANAGING PARTNER) |
Authorized Official Contact | 5406671389 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Behavioral Resources Plc 134 W Piccadilly Street Winchester VA 22601 Ph: (540) 667-1389 | Behavioral Resources Plc 134 W Piccadilly Street Winchester VA 22601 Ph: (540) 667-1389 |
NPI Number | 1841201977 |
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Provider Enumeration Date | 08/11/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 2062698277 |
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Medicare Enrollment ID | O20110523000548 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841201977 | NPI | - | NPPES |
27755000 | Other | MAGELLAN | |
204043 | Other | ANTHEM | |
204045 | Other | ANTHEM | |
204047 | Other | ANTHEM | |
107671 | Other | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | John Davidson Lewis |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1760563803 PECOS PAC ID: 4284703422 Enrollment ID: I20110523000650 |
Provider Name | Rebecca Gayle Morrison |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1184726713 PECOS PAC ID: 6608047253 Enrollment ID: I20110913000003 |
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