Deanna Rock, | |
604 Timber Crest Dr, Columbia, SC 29229-9211 | |
(803) 920-1505 | |
Not Available |
Full Name | Deanna Rock |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 604 Timber Crest Dr, Columbia, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073182945 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 7565 (South Carolina) | Primary |
Entity Name | Vitae Health Medical North Carolina Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265064414 PECOS PAC ID: 7719317932 Enrollment ID: O20200430000531 |
Mailing Address | Practice Location Address |
---|---|
Deanna Rock, 604 Timber Crest Dr, Columbia, SC 29229-9211 Ph: (803) 920-1505 | Deanna Rock, 604 Timber Crest Dr, Columbia, SC 29229-9211 Ph: (803) 920-1505 |
Dr. Larry Barker, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Cardiff St, Columbia, SC 29209 Phone: 803-447-5585 | |
Mr. Carlton A Andrews Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2611 River Dr, Columbia, SC 29201 Phone: 803-446-4905 Fax: 803-771-6685 | |
Brenda Brooks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3809 Rosewood Dr, Columbia, SC 29205 Phone: 803-786-1844 | |
Y'ticcia Y Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2715 Colonial Dr, Columbia, SC 29203 Phone: 803-898-4777 | |
Nijoku Odom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2711 Colonial Dr, Columbia, SC 29203 Phone: 803-726-9351 | |
Timothy Goode, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 Village Walk, Columbia, SC 29209 Phone: 417-343-9846 | |
Kinsey Cameron, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2537 Gervais St, Columbia, SC 29204 Phone: 803-470-5624 |