| La-retha Brown, LPC | |
|
1811 King St, Portsmouth, VA 23704-3032 | |
| (757) 393-8618 | |
| Not Available |
| Full Name | La-retha Brown |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1811 King St, Portsmouth, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538974175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0701014422 (Virginia) | Secondary |
| 101YP2500X | Counselor - Professional | 0701014422 (Virginia) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514 |
| Mailing Address | Practice Location Address |
|---|---|
| La-retha Brown, LPC 5963 Eagle Pt, Portsmouth, VA 23703-5373 Ph: (757) 284-4890 | La-retha Brown, LPC 1811 King St, Portsmouth, VA 23704-3032 Ph: (757) 393-8618 |
Tiffany Renee Smith-lagerberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 Roanoke Ave, Portsmouth, VA 23704 Phone: 757-575-4456 | |
Ms. Maxine Cecilia Green, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1634 London Blvd, Portsmouth, VA 23704 Phone: 757-393-7200 | |
Angela Callahan, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Washington St, Portsmouth, VA 23704 Phone: 757-372-7868 Fax: 757-419-5365 | |
Nicole Billingslea, QMHP-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 348 Washington St Apt 5, Portsmouth, VA 23704 Phone: 716-450-7770 | |
Karen L Mckinley, PSY D LCSW LMFT Counselor Medicare: Accepting Medicare Assignments Practice Location: 3300 Academy Ave, Academy Crossing Medical Plaza, Portsmouth, VA 23703 Phone: 757-483-6404 Fax: 757-483-0737 | |
Ms. Kawanna Evette Ward, LCSW, CSAC, CSOTP Counselor Medicare: Accepting Medicare Assignments Practice Location: 1634 London Blvd, Portsmouth, VA 23704 Phone: 757-966-1889 | |
Meagan Elise Graham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Fort Ln, Portsmouth, VA 23704 Phone: 757-391-5909 |