| Brambleton Assessment & Counseling Center Llc | |
|
3536 Brambleton Avenue, Sw Suite 3 Roanoke VA 24018 | |
| (540) 580-0975 | |
| (540) 777-5453 |
| Full Name | Brambleton Assessment & Counseling Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3536 Brambleton Avenue, Sw, Roanoke, Virginia |
| Authorized Official Name and Position | Stephanie Ann Goodbar (OWNER) |
| Authorized Official Contact | 5407777060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brambleton Assessment & Counseling Center Llc 3536 Brambleton Ave Ste 3 Roanoke VA 24018-6500 Ph: (540) 777-7060 | Brambleton Assessment & Counseling Center Llc 3536 Brambleton Avenue, Sw Suite 3 Roanoke VA 24018 Ph: (540) 580-0975 |
| NPI Number | 1194142836 |
|---|---|
| Provider Enumeration Date | 03/19/2014 |
| Last Update Date | 04/18/2018 |
| Medicare PECOS PAC ID | 2668690355 |
|---|---|
| Medicare Enrollment ID | O20140821000632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194142836 | NPI | - | NPPES |
| 8916641 | Medicaid | VA | |
| 396724 | Other | VA | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904001648 (Virginia) | Primary |
| Provider Name | Mary Mowbray Flanary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144597717 PECOS PAC ID: 6608170493 Enrollment ID: I20160216000397 |
Clarvida Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5369 Peters Creek Rd Nw, Roanoke, VA 24019 Phone: 540-344-9501 Fax: 540-344-7162 | |
Advanced Telepsychiatry, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5372 Fallowater Lane, Suite C, Roanoke, VA 24018 Phone: 540-772-1974 Fax: 540-283-0032 | |
Anthony O. Wells, Ph.d. Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Albemarle Ave Sw, Roanoke, VA 24016 Phone: 540-818-3379 Fax: 877-285-0379 | |
Cedric Wilson, Lpc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3048 Brambleton Ave Sw, Roanoke, VA 24015 Phone: 540-339-7674 Fax: 540-685-0994 | |
Alchemy Counseling And Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1402 Grandin Rd Sw Ste 205, Roanoke, VA 24015 Phone: 757-646-7831 | |
Steel River Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1409 Grandin Rd Sw, Roanoke, VA 24015 Phone: 504-421-5406 | |
Your Life Aba Va, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1314 Riverland Rd Se, Roanoke, VA 24014 Phone: 866-565-7222 Fax: 877-734-1914 |