| Deanna Rock, LCMHC, LPC | |
|
650 Highland Ave Ste 220, Winston Salem, NC 27101-4362 | |
| (336) 607-8523 | |
| (336) 773-0916 |
| Full Name | Deanna Rock |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 650 Highland Ave Ste 220, Winston Salem, North 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 | 20328 (North Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | 8554 (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, LCMHC, LPC 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 Ph: (704) 939-1100 | Deanna Rock, LCMHC, LPC 650 Highland Ave Ste 220, Winston Salem, NC 27101-4362 Ph: (336) 607-8523 |
Timothy Carl Blake, Counselor Medicare: Not Enrolled in Medicare Practice Location: 725 Highland Ave, Winston Salem, NC 27101 Phone: 336-607-8523 | |
Keren Happuch Williams, LCMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 140 Kimel Park Dr Ste 200, Winston Salem, NC 27103 Phone: 336-718-7250 Fax: 336-718-7260 | |
Amy Bowden, LCSWA Counselor Medicare: Accepting Medicare Assignments Practice Location: 665 W 4th St, Winston Salem, NC 27101 Phone: 336-725-8389 Fax: 336-725-6628 | |
Chelsea Baldwin Rogers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7670 N Point Ct, Winston Salem, NC 27106 Phone: 855-362-8470 Fax: 704-362-8464 | |
Mya Lynn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 Knollwood St Ste 705, Winston Salem, NC 27103 Phone: 336-986-9006 | |
Mrs. Amy Kolb Shuman, LPC, NBCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 640 Holly Ave, Winston Salem, NC 27101 Phone: 336-725-3999 | |
Amanda Grace Connelly, Counselor Medicare: Accepting Medicare Assignments Practice Location: 4140 Cherry St, Winston Salem, NC 27105 Phone: 336-306-9620 |