| Cheryl Edwards Ponton, LPC-R | |
|
10543 S Crater Rd, South Prince George, VA 23805-7333 | |
| (804) 431-5585 | |
| Not Available |
| Full Name | Cheryl Edwards Ponton |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 10543 S Crater Rd, South Prince George, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699385385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0704011400 (Virginia) | Primary |
| Entity Name | Virginia Pac Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073042800 PECOS PAC ID: 4587930672 Enrollment ID: O20171017002271 |
| Entity Name | Savida Health, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548739170 PECOS PAC ID: 4082809967 Enrollment ID: O20190426001267 |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20220802002024 |
| Entity Name | Cs Pacs 3 Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20240821003368 |
| Entity Name | Aevum Bh Va Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225856008 PECOS PAC ID: 3274067210 Enrollment ID: O20241113000945 |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl Edwards Ponton, LPC-R 10543 S Crater Rd, South Prince George, VA 23805-7333 Ph: (804) 431-5585 | Cheryl Edwards Ponton, LPC-R 10543 S Crater Rd, South Prince George, VA 23805-7333 Ph: (804) 431-5585 |
Erika Saunders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-431-5585 | |
Jewel Winns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-431-5585 | |
Brooke M Graves, CSAC-S QMHP-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-431-5585 | |
Brittany Jane Townsend, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10541 S Crater Rd, South Prince George, VA 23805 Phone: 800-805-6989 | |
Mrs. Malissa Ann Quinlan Farnum, CSAC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-223-5141 | |
Vernita Ellis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-431-5585 Fax: 804-431-5820 | |
Claudia Clarke, CSAC Counselor Medicare: Medicare Enrolled Practice Location: 10543 S Crater Rd, South Prince George, VA 23805 Phone: 804-431-5585 Fax: 804-431-5820 |