| Challen Marie Mabry, LPC | |
|
290 S Main St, Suite 2, Rocky Mount, VA 24151-1709 | |
| (540) 483-0312 | |
| Not Available |
| Full Name | Challen Marie Mabry |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 290 S Main St, Rocky Mount, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073996302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701006195 (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 |
|---|---|
| Challen Marie Mabry, LPC 647 Old Fort Rd, Rocky Mount, VA 24151-2036 Ph: (540) 493-4480 | Challen Marie Mabry, LPC 290 S Main St, Suite 2, Rocky Mount, VA 24151-1709 Ph: (540) 483-0312 |
Avery E Kerr, L.P.C. Counselor Medicare: Medicare Enrolled Practice Location: 1625 Franklin St, Rocky Mount, VA 24151 Phone: 540-483-9082 | |
Luke Evan Boone, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Ruritan Rd, Rocky Mount, VA 24151 Phone: 540-420-6427 | |
Courtney Joyce Poage, Counselor Medicare: Not Enrolled in Medicare Practice Location: 370 Tanyard Rd, Rocky Mount, VA 24151 Phone: 540-488-5636 | |
Scott Rutter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 370 Tanyard Rd, Rocky Mount, VA 24151 Phone: 540-488-5636 | |
Alexis Chocklette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 370 Tanyard Rd, Rocky Mount, VA 24151 Phone: 540-488-5636 | |
Deanna Dick, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5 E Court St Ste 301, Rocky Mount, VA 24151 Phone: 540-483-0071 Fax: 540-483-0092 |