| Julie Renay Fields, LPCC | |
|
1 Kenton Dr Ste 200, Charleston, WV 25311-1256 | |
| (304) 513-3495 | |
| Not Available |
| Full Name | Julie Renay Fields |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1 Kenton Dr Ste 200, Charleston, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053876870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 2330 (West Virginia) | Secondary |
| 101Y00000X | Counselor | 263839 (Kentucky) | Secondary |
| 101YM0800X | Counselor - Mental Health | 2330 (West Virginia) | Primary |
| Entity Name | Gr&w Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407192024 PECOS PAC ID: 9739324922 Enrollment ID: O20130315000456 |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Renay Fields, LPCC 125 S Main Cross St, Louisa, KY 41230-1065 Ph: (606) 638-0938 | Julie Renay Fields, LPCC 1 Kenton Dr Ste 200, Charleston, WV 25311-1256 Ph: (304) 513-3495 |
Jatue Richardson, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2157 Greenbrier St, Charleston, WV 25311 Phone: 304-344-5924 Fax: 304-344-3503 | |
James M Jackson, COUNSELOR 3 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2157 Greenbrier St, Charleston, WV 25311 Phone: 304-344-5924 Fax: 304-344-3503 | |
Jill Leean Woodrum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2157 Greenbrier St, Charleston, WV 25311 Phone: 304-344-5924 | |
Denise Briscoe, MA, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 Quarrier St, Charleston, WV 25301 Phone: 304-513-3900 | |
Hope Hartz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1632 Kanawha Blvd E, Charleston, WV 25311 Phone: 304-344-8515 | |
Ethel Austin, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2157 Greenbrier St, Charleston, WV 25311 Phone: 304-245-9753 Fax: 304-344-3503 | |
Khadija Myers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 Quarrier St, Charleston, WV 25301 Phone: 304-513-3900 |