| Amy Renae Spurlock, LPC | |
|
2390 Kanawha State Forest Dr, Charleston, WV 25314-9080 | |
| (304) 389-5730 | |
| Not Available |
| Full Name | Amy Renae Spurlock |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2390 Kanawha State Forest Dr, Charleston, 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 |
|---|---|---|---|
| 1699045542 | NPI | - | NPPES |
| 0005355002 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2022 (West Virginia) | Primary |
| Entity Name | Westbrook Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952357568 PECOS PAC ID: 3375443054 Enrollment ID: O20040109000700 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Renae Spurlock, LPC Po Box 8880, South Charleston, WV 25303-0880 Ph: () - | Amy Renae Spurlock, LPC 2390 Kanawha State Forest Dr, Charleston, WV 25314-9080 Ph: (304) 389-5730 |
Jatue Richardson, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2157 Greenbrier St, Charleston, WV 25311 Phone: 304-344-5924 Fax: 304-344-3503 | |
James M Jackson, COUNSELOR 3 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2157 Greenbrier St, Charleston, WV 25311 Phone: 304-344-5924 Fax: 304-344-3503 | |
Jill Leean Woodrum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2157 Greenbrier St, Charleston, WV 25311 Phone: 304-344-5924 | |
Denise Briscoe, MA, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 Quarrier St, Charleston, WV 25301 Phone: 304-513-3900 | |
Hope Hartz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1632 Kanawha Blvd E, Charleston, WV 25311 Phone: 304-344-8515 | |
Ethel Austin, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2157 Greenbrier St, Charleston, WV 25311 Phone: 304-245-9753 Fax: 304-344-3503 | |
Khadija Myers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 Quarrier St, Charleston, WV 25301 Phone: 304-513-3900 |