| Heather Cashion Frazier, LCMHC; LCASA | |
|
522 N Main St, Walnut Cove, NC 27052-9247 | |
| (336) 753-2655 | |
| Not Available |
| Full Name | Heather Cashion Frazier |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 522 N Main St, Walnut Cove, 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 |
|---|---|---|---|
| 1750971081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 23948 (North Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | 13810 (North Carolina) | Primary |
| Entity Name | October Road Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144375767 PECOS PAC ID: 3577611433 Enrollment ID: O20090501000491 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Cashion Frazier, LCMHC; LCASA 522 N Main St, Walnut Cove, NC 27052-9247 Ph: (336) 753-2655 | Heather Cashion Frazier, LCMHC; LCASA 522 N Main St, Walnut Cove, NC 27052-9247 Ph: (336) 753-2655 |
Reinatou Sadou, LCMHCA Counselor Medicare: Medicare Enrolled Practice Location: 131 Plant St, Walnut Cove, NC 27052 Phone: 336-536-1024 | |
Linda Faye Staten, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Walnut Cove, NC 27052 Phone: 336-310-6727 | |
Gary Robert Atkins, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 522 N Main St, Walnut Cove, NC 27052 Phone: 336-753-2655 |