| Bonnie Marie Marrow, LPC | |
|
906 Thompson St, Ashland, VA 23005-1128 | |
| (727) 205-2077 | |
| Not Available |
| Full Name | Bonnie Marie Marrow |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 906 Thompson St, Ashland, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316088131 | NPI | - | NPPES |
| 4945131 | Other | VA | VIRGINIA PREMIER |
| 248116 | Other | VA | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701004011 (Virginia) | Primary |
| Entity Name | The Wave International Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588130363 PECOS PAC ID: 9436563376 Enrollment ID: O20240617000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie Marie Marrow, LPC 10299 Woodman Rd, Glen Allen, VA 23060-4419 Ph: (804) 727-8500 | Bonnie Marie Marrow, LPC 906 Thompson St, Ashland, VA 23005-1128 Ph: (727) 205-2077 |
Jennifer Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Berkley St, Ashland, VA 23005 Phone: 804-723-3587 | |
Britney Carr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Berkley St, Ashland, VA 23005 Phone: 804-365-8069 | |
Jamie Michelle Beckstoffer, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 13496 Liberty School Rd, Ashland, VA 23005 Phone: 804-365-8060 | |
Katharine Marie Calabro, LPC Counselor Medicare: Medicare Enrolled Practice Location: 12300 Washington Highway, Ashland, VA 23005 Phone: 804-365-4222 | |
Lindsey Morris Simmers, LPC Counselor Medicare: Medicare Enrolled Practice Location: 12300 Washington Hwy, Ashland, VA 23005 Phone: 804-365-4222 | |
Christopher Smith, SCHOOL COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 12007 Cedar Ln, Ashland, VA 23005 Phone: 804-365-8100 | |
Russell M. Veals, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12300 Washington Hwy, Ashland, VA 23005 Phone: 804-365-4222 Fax: 804-365-4252 |