| Lesley Pena, LPC | |
|
750 S Church St, Spartanburg, SC 29306-5348 | |
| (864) 582-2411 | |
| Not Available |
| Full Name | Lesley Pena |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 750 S Church St, Spartanburg, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659008746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 9333 (South Carolina) | Primary |
| Entity Name | Regenesis Organization Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194710426 PECOS PAC ID: 8022928001 Enrollment ID: O20050127000120 |
| Entity Name | Regenesis Organization Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548528714 PECOS PAC ID: 8022928001 Enrollment ID: O20160816002916 |
| Entity Name | Regenesis Organization Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457745952 PECOS PAC ID: 8022928001 Enrollment ID: O20170127000968 |
| Entity Name | Regenesis Organization Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982248852 PECOS PAC ID: 8022928001 Enrollment ID: O20210120001241 |
| Entity Name | Regenesis Organization Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558946376 PECOS PAC ID: 8022928001 Enrollment ID: O20220630000562 |
| Mailing Address | Practice Location Address |
|---|---|
| Lesley Pena, LPC 5105 Thompson St, Chesnee, SC 29323-8219 Ph: (843) 729-1088 | Lesley Pena, LPC 750 S Church St, Spartanburg, SC 29306-5348 Ph: (864) 582-2411 |
Mr. Edmund Jackson Scott Jr., LMFT-I, CAC-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 187 W Broad St Ste 200, Spartanburg, SC 29306 Phone: 864-707-2801 | |
Mrs. Katrina Hope Hereford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366 | |
Jacquelyn Walker, Counselor Medicare: Medicare Enrolled Practice Location: 460 Langdon St, Spartanburg, SC 29302 Phone: 864-549-0222 | |
Candace Soddu Quinn, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 129 Dillon Drive, Spartanburg, SC 29307 Phone: 864-582-7588 Fax: 864-562-4117 | |
Mark R. Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 E Saint John St, Spartanburg, SC 29302 Phone: 864-707-1953 | |
Mrs. Beverly B Shelton, CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 187 W Broad St, Spartanburg, SC 29306 Phone: 864-582-7588 Fax: 864-582-0431 | |
James Alva Young Jr., MA, CACP Counselor Medicare: Not Enrolled in Medicare Practice Location: 187 W Broad St, Spartanburg, SC 29306 Phone: 864-582-7588 Fax: 864-582-0431 |