| David M Gamble, LPC | |
|
14107 Old Fort Dr, Midlothian, VA 23113-3948 | |
| (804) 300-8222 | |
| Not Available |
| Full Name | David M Gamble |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 14107 Old Fort Dr, Midlothian, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154068971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701013569 (Virginia) | Primary |
| Entity Name | Life Space Therapy Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083431571 PECOS PAC ID: 2062944341 Enrollment ID: O20241010003491 |
| Mailing Address | Practice Location Address |
|---|---|
| David M Gamble, LPC 14107 Old Fort Dr, Midlothian, VA 23113-3948 Ph: (804) 300-8222 | David M Gamble, LPC 14107 Old Fort Dr, Midlothian, VA 23113-3948 Ph: (804) 300-8222 |
Catherine Desaussure Ogletree, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2820 Waterford Lake Dr Ste 102, Midlothian, VA 23112 Phone: 894-658-4509 | |
Ms. Lynda Hale Leslie, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1700 Huguenot Rd, Suite D, Midlothian, VA 23113 Phone: 804-263-3775 Fax: 804-325-1670 | |
Mr. Anthony Penn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2625 Colgrave Rd, Midlothian, VA 23112 Phone: 804-301-9219 | |
Micah Danielle Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13817 Village Mill Dr Ste R, Midlothian, VA 23114 Phone: 617-379-0496 | |
Mr. Luther Archer Jr., LPC, CPSC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 Mcmanaway Dr, Midlothian, VA 23112 Phone: 804-616-5604 | |
Julia Wilkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 Lancaster Gate Ln Apt 206, Midlothian, VA 23113 Phone: 804-519-1463 | |
Jasmine Marie Pollard, LPC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 15521 Midlothian Tpke Ste 105, Midlothian, VA 23113 Phone: 804-423-2550 |