Hailie Leann Cushman, LCMHC | |
14558 Danville Pike, Laurel Fork, VA 24352-3982 | |
(276) 398-1200 | |
Not Available |
Full Name | Hailie Leann Cushman |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 14558 Danville Pike, Laurel Fork, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982315321 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 16216 (North Carolina) | Secondary |
101YM0800X | Counselor - Mental Health | 0701013366 (Virginia) | Primary |
Entity Name | Tri Area Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346227584 PECOS PAC ID: 6204748296 Enrollment ID: O20040122000969 |
Mailing Address | Practice Location Address |
---|---|
Hailie Leann Cushman, LCMHC 634 Sunny Cove Ln, Hillsville, VA 24343-1599 Ph: (276) 733-5002 | Hailie Leann Cushman, LCMHC 14558 Danville Pike, Laurel Fork, VA 24352-3982 Ph: (276) 398-1200 |
Bill Mcfeature, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14558 Danville Pike, Laurel Fork, VA 24352 Phone: 276-398-2292 Fax: 276-398-3331 | |
Mrs. Bethany Pearl Brintle, LPC Counselor Medicare: Medicare Enrolled Practice Location: 14558 Danville Pike, Laurel Fork, VA 24352 Phone: 276-398-2292 Fax: 276-398-3331 | |
Ms. Pamela Ruth Hylton, LPC Counselor Medicare: Medicare Enrolled Practice Location: 14558 Danville Pike, Laurel Fork, VA 24352 Phone: 276-398-2292 |