| Bethany R Rife, LPC | |
|
155 Valley Street Ext Ne Ste 102, Abingdon, VA 24210-2855 | |
| (646) 941-7645 | |
| (929) 596-7897 |
| Full Name | Bethany R Rife |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 155 Valley Street Ext Ne Ste 102, Abingdon, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790492445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701011853 (Virginia) | Primary |
| Entity Name | Eventus Premier Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437998309 PECOS PAC ID: 6305381013 Enrollment ID: O20240717001731 |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany R Rife, LPC 610 Campus Dr, Abingdon, VA 24210-2589 Ph: (276) 525-1550 | Bethany R Rife, LPC 155 Valley Street Ext Ne Ste 102, Abingdon, VA 24210-2855 Ph: (646) 941-7645 |
Mrs. Laura Marie Walts, M.A., LPC Counselor Medicare: Medicare Enrolled Practice Location: 613 Campus Dr Ste 200, Abingdon, VA 24210 Phone: 276-628-1186 | |
Charles Zachary Thompson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 610 Campus Dr, Abingdon, VA 24210 Phone: 276-525-1550 Fax: 276-525-1609 | |
Tara Jill Null, LPC, CSAC Counselor Medicare: Medicare Enrolled Practice Location: 353 Falls Dr Nw, Abingdon, VA 24210 Phone: 276-258-5921 | |
Wesley Leuzinger, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Campus Dr, Abingdon, VA 24210 Phone: 276-525-1550 Fax: 276-525-1609 | |
Mrs. Kandace Leanne Miller Phillips, BS CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Campus Dr, Abingdon, VA 24210 Phone: 276-525-1550 Fax: 276-525-1609 | |
Lorri Stiles, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Campus Dr, Abingdon, VA 24210 Phone: 276-525-1550 Fax: 276-525-1609 | |
Camille Hoffman Kingsolver, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Campus Dr, Abingdon, VA 24210 Phone: 276-525-1550 Fax: 276-525-1609 |