| Lea Marie Larch, LPC, NCC, AADC, ALPS | |
|
4701 Maccorkle Ave Se, Charleston, WV 25304-1950 | |
| (304) 756-5804 | |
| Not Available |
| Full Name | Lea Marie Larch |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 12 Years |
| Location | 4701 Maccorkle Ave Se, Charleston, West Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811603160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (West Virginia) | Secondary |
| 101YP2500X | Counselor - Professional | 2551 (West Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Portland Dbt Institute Inc | 7911141742 | 27 |
| Entity Name | Portland Dbt Institute Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073853966 PECOS PAC ID: 7911141742 Enrollment ID: O20130918000361 |
| Mailing Address | Practice Location Address |
|---|---|
| Lea Marie Larch, LPC, NCC, AADC, ALPS 4701 Maccorkle Ave Se, Charleston, WV 25304-1950 Ph: (304) 756-5804 | Lea Marie Larch, LPC, NCC, AADC, ALPS 4701 Maccorkle Ave Se, Charleston, WV 25304-1950 Ph: (304) 756-5804 |
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 |