| Wishing Well Counseling Center, Pllc | |
|
707 Gittings St Suite 120 Suffolk VA 23434-6101 | |
| (757) 514-3428 | |
| (757) 514-3428 |
| Full Name | Wishing Well Counseling Center, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 707 Gittings St, Suffolk, Virginia |
| Authorized Official Name and Position | Mansherees Leann Ward (OWNER/THERAPIST) |
| Authorized Official Contact | 7573091510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wishing Well Counseling Center, Pllc 707 Gittings St Suite 120 Suffolk VA 23434-6101 Ph: (757) 514-3428 | Wishing Well Counseling Center, Pllc 707 Gittings St Suite 120 Suffolk VA 23434-6101 Ph: (757) 514-3428 |
| NPI Number | 1689042780 |
|---|---|
| Provider Enumeration Date | 09/04/2015 |
| Last Update Date | 02/01/2022 |
| Certification Date | 01/26/2022 |
| Medicare PECOS PAC ID | 7113311424 |
|---|---|
| Medicare Enrollment ID | O20220303000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689042780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0701005261 (Virginia) | Primary |
| Provider Name | Rebecca L Mccullar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205026127 PECOS PAC ID: 6002091113 Enrollment ID: I20220303000185 |
| Provider Name | Amanda Helen Deselding |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316683014 PECOS PAC ID: 0840672135 Enrollment ID: I20220803001187 |
| Provider Name | Helen Kafer Varnadoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205847324 PECOS PAC ID: 6305949017 Enrollment ID: I20230417002187 |
| Provider Name | Erin Marie Gossage |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326491523 PECOS PAC ID: 0840684155 Enrollment ID: I20240109001312 |
| Provider Name | Lauren Marie Overman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235473117 PECOS PAC ID: 8022402338 Enrollment ID: I20240307000782 |
| Provider Name | Cheryl Lynne Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518070143 PECOS PAC ID: 4284072745 Enrollment ID: I20240402004523 |
| Provider Name | Tredella Latina Hall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578150314 PECOS PAC ID: 4082053947 Enrollment ID: I20240411004719 |
| Provider Name | Twaina M Carpenter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942435342 PECOS PAC ID: 6901245174 Enrollment ID: I20240419003572 |
| Provider Name | Kate Horn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619412673 PECOS PAC ID: 3870036460 Enrollment ID: I20240624004419 |
| Provider Name | Brandon Scott Hamlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750138301 PECOS PAC ID: 0042753576 Enrollment ID: I20240625001201 |
| Provider Name | Mansherees Ward |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831449818 PECOS PAC ID: 1759775067 Enrollment ID: I20240625002589 |
| Provider Name | Karen Pamela Ware |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063267557 PECOS PAC ID: 4385187871 Enrollment ID: I20240625003241 |
| Provider Name | Brittany Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366157570 PECOS PAC ID: 3971047481 Enrollment ID: I20240625004194 |
| Provider Name | Shannon Stocks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073365359 PECOS PAC ID: 2961948757 Enrollment ID: I20240729003678 |
Anchor Of Hope Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1055 Fairgrounds Ln, Suffolk, VA 23434 Phone: 757-541-3851 | |
5 Star Residential Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5024 Kelso St, Suffolk, VA 23435 Phone: 336-926-0133 | |
Institute For Family Centered Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7021 Harbour View Blvd, Suite 102, Suffolk, VA 23435 Phone: 757-484-4179 Fax: 757-484-1341 | |
Paradigm Mental Health Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4112 Pritchard Street Suffolk Va. 23435, Suffolk, VA 23435 Phone: 757-957-2098 | |
Be & Mh, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 208 Republic Ln, Suffolk, VA 23434 Phone: 757-269-1400 | |