| Zoe Therapy Services, Llc | |
|
4191 Innslake Dr Ste 211 Glen Allen VA 23060-3324 | |
| (804) 303-9622 | |
| (804) 716-4318 |
| Full Name | Zoe Therapy Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4191 Innslake Dr Ste 211, Glen Allen, Virginia |
| Authorized Official Name and Position | Sheri Markel (MANAGER) |
| Authorized Official Contact | 8043039622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zoe Therapy Services, Llc 4191 Innslake Dr Ste 211 Glen Allen VA 23060-3324 Ph: (804) 303-9622 | Zoe Therapy Services, Llc 4191 Innslake Dr Ste 211 Glen Allen VA 23060-3324 Ph: (804) 303-9622 |
| NPI Number | 1215352521 |
|---|---|
| Provider Enumeration Date | 02/23/2014 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Medicare PECOS PAC ID | 2769603901 |
|---|---|
| Medicare Enrollment ID | O20141031001467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215352521 | NPI | - | NPPES |
| Provider Name | Yvonne Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295843902 PECOS PAC ID: 5496794075 Enrollment ID: I20050503000635 |
| Provider Name | Harry L Almond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508974296 PECOS PAC ID: 1355534355 Enrollment ID: I20101022000663 |
| Provider Name | Dennis L Hawley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841394152 PECOS PAC ID: 7618937459 Enrollment ID: I20101022000700 |
| Provider Name | Erin Otoole-lyon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043469463 PECOS PAC ID: 0840457057 Enrollment ID: I20120131000204 |
| Provider Name | Cyreeta C Price |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508151747 PECOS PAC ID: 8628216900 Enrollment ID: I20130528000279 |
| Provider Name | Frank E Shelp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912030883 PECOS PAC ID: 5890844625 Enrollment ID: I20140429000473 |
| Provider Name | Kathy E Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619277803 PECOS PAC ID: 6305134073 Enrollment ID: I20161012001603 |
| Provider Name | Sarah J Formica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528515533 PECOS PAC ID: 8224311733 Enrollment ID: I20170208000103 |
| Provider Name | Sarah Degaraff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619215449 PECOS PAC ID: 6800124231 Enrollment ID: I20190823000621 |
| Provider Name | Sara E Coxon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538719612 PECOS PAC ID: 6406289214 Enrollment ID: I20191210000805 |
| Provider Name | Alexander Carroll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043849094 PECOS PAC ID: 2163833013 Enrollment ID: I20201124002654 |
| Provider Name | Audrey J Leonard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700295904 PECOS PAC ID: 4486053261 Enrollment ID: I20210527001066 |
| Provider Name | Jennifer Sistrunk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932709714 PECOS PAC ID: 6002212974 Enrollment ID: I20210901003039 |
| Provider Name | Kathryn E Coats |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871068890 PECOS PAC ID: 6901144336 Enrollment ID: I20210915004022 |
| Provider Name | Rebecca Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720693740 PECOS PAC ID: 4284031840 Enrollment ID: I20210923002528 |
| Provider Name | Sommer Bognar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235725169 PECOS PAC ID: 9234536509 Enrollment ID: I20210929002004 |
| Provider Name | David Krukiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184207680 PECOS PAC ID: 4082002365 Enrollment ID: I20211020000709 |
| Provider Name | Emily Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659044790 PECOS PAC ID: 2062800097 Enrollment ID: I20211025002680 |
| Provider Name | Chelsea Nicole Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336719665 PECOS PAC ID: 7810387602 Enrollment ID: I20211210000159 |
| Provider Name | Kathryn Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831447580 PECOS PAC ID: 8527451343 Enrollment ID: I20220131000852 |
| Provider Name | Allison Douglas-clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649391418 PECOS PAC ID: 7719360445 Enrollment ID: I20220812003090 |
| Provider Name | Tricia Vanrossum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245325265 PECOS PAC ID: 0941679732 Enrollment ID: I20221219000880 |
| Provider Name | Stephanie Derhovhannessian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306016886 PECOS PAC ID: 9335500222 Enrollment ID: I20230725000701 |
| Provider Name | Lindsey Bigelow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316330533 PECOS PAC ID: 1456715333 Enrollment ID: I20230911002730 |
| Provider Name | Stephen Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275080327 PECOS PAC ID: 6507220449 Enrollment ID: I20230912001017 |
| Provider Name | Edward G Canada |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952877995 PECOS PAC ID: 9032552310 Enrollment ID: I20240205001116 |
| Provider Name | Julia Canada |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396282893 PECOS PAC ID: 1355784554 Enrollment ID: I20240205002175 |
| Provider Name | Carole Roper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477663755 PECOS PAC ID: 2567806664 Enrollment ID: I20240216001464 |
| Provider Name | Barbara Sneddon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114934700 PECOS PAC ID: 1456795590 Enrollment ID: I20240216003062 |
| Provider Name | Brittany Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386159911 PECOS PAC ID: 4880038843 Enrollment ID: I20240216004281 |
| Provider Name | Casey White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083291850 PECOS PAC ID: 2769826726 Enrollment ID: I20240216004351 |
| Provider Name | Natalie R Stansfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205530953 PECOS PAC ID: 0840634465 Enrollment ID: I20240221004265 |
| Provider Name | Mary F Santmier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992849426 PECOS PAC ID: 4284079005 Enrollment ID: I20240301002916 |
| Provider Name | Jacob Caflisch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437826757 PECOS PAC ID: 9436596343 Enrollment ID: I20240326004408 |
| Provider Name | Mahala Jordan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306459425 PECOS PAC ID: 3173960077 Enrollment ID: I20240327003623 |
| Provider Name | Marynell Donahue |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780300426 PECOS PAC ID: 1850731050 Enrollment ID: I20240506001120 |
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