Erica Charelle Mangrum, is a
Counselor - Professional based in Brodnax, Virginia. Erica Charelle Mangrum is licensed to practice in Virginia (license number 0701012779) and her current practice location is
74 Pine Hill Ct, Brodnax, Virginia. She can be reached at her office (for appointments etc.) via phone at
(434) 637-0914.
NPI number for Erica Charelle Mangrum is 1083419881 and her current mailing address is 74 Pine Hill Ct, Brodnax, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083419881.
Healthcare Provider's Profile
Full Name | Erica Charelle Mangrum |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 74 Pine Hill Ct, Brodnax, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083419881
- Provider Enumeration Date: 02/17/2025
- Last Update Date: 02/17/2025
Medical Identifiers
Medical identifiers for Erica Charelle Mangrum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083419881 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 0701012779 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erica Charelle Mangrum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Erica Charelle Mangrum, 74 Pine Hill Ct, Brodnax, VA 23920-3330 Ph: (434) 637-0914 | Erica Charelle Mangrum, 74 Pine Hill Ct, Brodnax, VA 23920-3330 Ph: (434) 637-0914 |
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