| Brandy Balzer, | |
|
6165 Allmondsville Rd, Gloucester, VA 23061-3336 | |
| (757) 645-8041 | |
| Not Available |
| Full Name | Brandy Balzer |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 6165 Allmondsville Rd, Gloucester, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700657939 | NPI | - | NPPES |
| VA0297G669 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701013201 (Virginia) | Primary |
| Entity Name | Abundant Life Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942740279 PECOS PAC ID: 6507142296 Enrollment ID: O20170412000791 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandy Balzer, 6165 Allmondsville Rd, Gloucester, VA 23061-3336 Ph: (757) 645-8041 | Brandy Balzer, 6165 Allmondsville Rd, Gloucester, VA 23061-3336 Ph: (757) 645-8041 |
Miriam Mackillop, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9228 George Washington Memorial Hwy, Gloucester, VA 23061 Phone: 804-695-8120 Fax: 804-695-8122 | |
Sarah Mccarthy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7296 York Avenue, Gloucester, VA 23061 Phone: 804-695-2557 | |
Amanda J Ward, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6810 Teagle Ln, Gloucester, VA 23061 Phone: 804-210-1104 | |
Mrs. Deborah W Richardson, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 9228 George Washington Memorial Hwy, Gloucester, VA 23061 Phone: 804-695-8119 Fax: 804-695-8122 | |
Sarah Sanders, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9228 George Washington Memorial Hwy, Gloucester, VA 23061 Phone: 804-695-8120 Fax: 804-695-8122 | |
Danielle Cauley, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9228 George Washington Memorial Hwy, Gloucester, VA 23061 Phone: 804-695-8131 | |
Mr. Rodney Levi Willoughby, BA-CSAC-QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 8180 Hamilton Dr, Gloucester, VA 23061 Phone: 804-824-2300 |