| Healing Waters Counseling Center | |
|
1113 Cedar Valley Dr. Cedar Bluff VA 24609 | |
| (276) 963-0111 | |
| (276) 963-0005 |
| Full Name | Healing Waters Counseling Center |
|---|---|
| Speciality | Counselor |
| Location | 1113 Cedar Valley Dr., Cedar Bluff, Virginia |
| Authorized Official Name and Position | Bradley Todd Kinder (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 2769630111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Waters Counseling Center Po Box 426 Cedar Bluff VA 24609-0426 Ph: (276) 963-0111 | Healing Waters Counseling Center 1113 Cedar Valley Dr. Cedar Bluff VA 24609 Ph: (276) 963-0111 |
| NPI Number | 1124329388 |
|---|---|
| Provider Enumeration Date | 11/04/2010 |
| Last Update Date | 06/11/2012 |
| Medicare PECOS PAC ID | 9931362399 |
|---|---|
| Medicare Enrollment ID | O20120522001002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124329388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | David J Dalrymple |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740256296 PECOS PAC ID: 2264466432 Enrollment ID: I20050927000349 |
| Provider Name | Gary F Lyons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093731028 PECOS PAC ID: 2163467069 Enrollment ID: I20090217000169 |
| Provider Name | Zachary A Hammons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073779799 PECOS PAC ID: 6709075690 Enrollment ID: I20110107000255 |
| Provider Name | Anne C Dibala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487614301 PECOS PAC ID: 3971539644 Enrollment ID: I20110314000930 |
| Provider Name | Pamela Kay Meade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376860213 PECOS PAC ID: 4789871385 Enrollment ID: I20130820000554 |
| Provider Name | Donna J Callis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629447941 PECOS PAC ID: 9537479993 Enrollment ID: I20151116000258 |
| Provider Name | Katey S Morrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477027407 PECOS PAC ID: 9032452743 Enrollment ID: I20190521002358 |
| Provider Name | Debra Kay Kluttz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669672853 PECOS PAC ID: 4385076926 Enrollment ID: I20191119003289 |
| Provider Name | Tina L Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831745611 PECOS PAC ID: 2365878865 Enrollment ID: I20200131000909 |
| Provider Name | Cory Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760025365 PECOS PAC ID: 8426485830 Enrollment ID: I20200225001412 |
| Provider Name | Erin L Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528644184 PECOS PAC ID: 1557750114 Enrollment ID: I20211119001767 |
| Provider Name | Angel Michelle Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619439908 PECOS PAC ID: 5496086662 Enrollment ID: I20211213000612 |
| Provider Name | Kimberly Denise Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922740125 PECOS PAC ID: 3274918420 Enrollment ID: I20220923002017 |
| Provider Name | Nathan Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124507066 PECOS PAC ID: 0143565911 Enrollment ID: I20221129000133 |
| Provider Name | Madison Singleton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649966797 PECOS PAC ID: 7315398831 Enrollment ID: I20240109004281 |
| Provider Name | Martha A Leonard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871263152 PECOS PAC ID: 8729439187 Enrollment ID: I20240110001279 |
| Provider Name | Timothy Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659059384 PECOS PAC ID: 5799136065 Enrollment ID: I20240111000490 |
| Provider Name | Andrea Perkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487250585 PECOS PAC ID: 4688025752 Enrollment ID: I20240112003024 |
| Provider Name | Emily Dillow |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417655309 PECOS PAC ID: 5991157919 Enrollment ID: I20240116000980 |
| Provider Name | Kelley Nicole Kinder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184762452 PECOS PAC ID: 2062856958 Enrollment ID: I20240219003845 |
| Provider Name | Brittany M Marshall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265297592 PECOS PAC ID: 3870939689 Enrollment ID: I20240314001440 |
| Provider Name | Hollie O'connor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285333047 PECOS PAC ID: 3072986223 Enrollment ID: I20240328000245 |
| Provider Name | Bradley Todd Kinder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154658854 PECOS PAC ID: 7012170483 Enrollment ID: I20240423004163 |
Sound Mind Counseling Ministry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Cedar Valley Drive, Suite 4, Cedar Bluff, VA 24609 Phone: 276-698-0073 Fax: 276-964-0052 | |
Cumberland Mountain Community Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 113 Cumberland Rd, Cedar Bluff, VA 24609 Phone: 276-964-6702 Fax: 276-964-5669 | |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2293 Cedar Valley Drive #104, Cedar Bluff, VA 24609 Phone: 276-963-3606 Fax: 276-963-3747 | |
Embrace, Behavioral Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2006 Steelsburg Hwy, Cedar Bluff, VA 24609 Phone: 276-254-1932 | |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1089, Cedar Bluff, VA 24609 Phone: 276-963-3606 Fax: 276-963-3747 |