| Colby Dewayne Ball, LPC | |
|
440 Fox Town Rd, Clintwood, VA 24228-5077 | |
| (276) 926-1680 | |
| (276) 926-9179 |
| Full Name | Colby Dewayne Ball |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 440 Fox Town Rd, Clintwood, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720551120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701008048 (Virginia) | Primary |
| Entity Name | Dickenson County Behavioral Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649209990 PECOS PAC ID: 9436134475 Enrollment ID: O20040623000133 |
| Mailing Address | Practice Location Address |
|---|---|
| Colby Dewayne Ball, LPC Po Box 309, Clintwood, VA 24228-0309 Ph: (276) 926-1680 | Colby Dewayne Ball, LPC 440 Fox Town Rd, Clintwood, VA 24228-5077 Ph: (276) 926-1680 |
Erin Marie Janovec, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 440 Fox Town Rd, Clintwood, VA 24228 Phone: 276-926-1680 | |
Brittney Danielle Powers Turner, MED Counselor Medicare: Medicare Enrolled Practice Location: 440 Fox Town Rd, Clintwood, VA 24228 Phone: 276-926-1680 Fax: 276-926-9179 | |
Kristina Lynn Endicott, LPC Counselor Medicare: Medicare Enrolled Practice Location: 160 Court House Ln, Clintwood, VA 24228 Phone: 276-219-3237 | |
Brandon R Bise, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 440 Fox Town Rd, Clintwood, VA 24228 Phone: 276-926-1680 Fax: 276-926-9179 |