Michelle White, LIC PSYC | |
3389 Winfield Rd Ste 8, Winfield, WV 25213-9354 | |
(304) 525-7851 | |
(304) 525-1073 |
Full Name | Michelle White |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 3389 Winfield Rd Ste 8, Winfield, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609988732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 919 (West Virginia) | Primary |
Entity Name | Azul Mindspace Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508648072 PECOS PAC ID: 7911353941 Enrollment ID: O20231027001925 |
Mailing Address | Practice Location Address |
---|---|
Michelle White, LIC PSYC 3375 Us Route 60, Huntington, WV 25705-2837 Ph: (304) 525-7851 | Michelle White, LIC PSYC 3389 Winfield Rd Ste 8, Winfield, WV 25213-9354 Ph: (304) 525-7851 |
James Hill, MA, LSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6756 Winfield Rd, Winfield, WV 25213 Phone: 304-941-6256 Fax: 304-553-0379 | |
Leanne Vaughn, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9 Courthouse Dr, Winfield, WV 25213 Phone: 304-586-0500 Fax: 304-586-0553 | |
Debra Evans Layne, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9 Courthouse Dr, Winfield, WV 25213 Phone: 304-586-0500 Fax: 304-586-0553 | |
Rachael Parde, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9 Courthouse Dr, Winfield, WV 25213 Phone: 304-586-0500 Fax: 304-586-0553 | |
Carey Webb, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6756 Winfield Rd, Winfield, WV 25213 Phone: 304-941-6256 | |
Kathleen Showen, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9 Courthouse Dr, Winfield, WV 25213 Phone: 304-586-0500 Fax: 304-586-0553 | |
Angela Hager Sullivan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9 Courthouse Dr, Winfield, WV 25213 Phone: 304-586-0500 Fax: 304-586-0553 |