Lifebridge Counseling | |
5673 Airport Rd Roanoke VA 24012-1119 | |
(540) 523-8099 | |
(540) 400-8808 |
Full Name | Lifebridge Counseling |
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Speciality | Counselor |
Location | 5673 Airport Rd, Roanoke, Virginia |
Authorized Official Name and Position | Yolanda Winfield (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 8048071201 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lifebridge Counseling 5673 Airport Rd Roanoke VA 24012-1119 Ph: (540) 529-8543 | Lifebridge Counseling 5673 Airport Rd Roanoke VA 24012-1119 Ph: (540) 523-8099 |
NPI Number | 1609448927 |
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Provider Enumeration Date | 07/15/2021 |
Last Update Date | 10/09/2024 |
Certification Date | 10/09/2024 |
Medicare PECOS PAC ID | 7113313032 |
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Medicare Enrollment ID | O20220401000711 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609448927 | NPI | - | NPPES |
Provider Name | James Kp Terry |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134777261 PECOS PAC ID: 5092111435 Enrollment ID: I20210909001885 |
Provider Name | Holly F Hartson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1801932900 PECOS PAC ID: 3870989676 Enrollment ID: I20220404002015 |
Provider Name | Anthony E Emmons |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194161513 PECOS PAC ID: 6608263157 Enrollment ID: I20220502000486 |
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