| Mahala Jordan, LPC | |
|
2808 Fox Chase Ln, Midlothian, VA 23112-4008 | |
| (508) 561-1070 | |
| Not Available |
| Full Name | Mahala Jordan |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2808 Fox Chase Ln, Midlothian, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306459425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0701009781 (Virginia) | Primary |
| 101YM0800X | Counselor - Mental Health | CC6968 (Maine) | Secondary |
| Entity Name | Zoe Therapy Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215352521 PECOS PAC ID: 2769603901 Enrollment ID: O20141031001467 |
| Mailing Address | Practice Location Address |
|---|---|
| Mahala Jordan, LPC 46 Beacon St, Portland, ME 04103-4014 Ph: () - | Mahala Jordan, LPC 2808 Fox Chase Ln, Midlothian, VA 23112-4008 Ph: (508) 561-1070 |
Catherine Desaussure Ogletree, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2820 Waterford Lake Dr Ste 102, Midlothian, VA 23112 Phone: 894-658-4509 | |
Ms. Lynda Hale Leslie, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1700 Huguenot Rd, Suite D, Midlothian, VA 23113 Phone: 804-263-3775 Fax: 804-325-1670 | |
Mr. Anthony Penn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2625 Colgrave Rd, Midlothian, VA 23112 Phone: 804-301-9219 | |
Micah Danielle Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13817 Village Mill Dr Ste R, Midlothian, VA 23114 Phone: 617-379-0496 | |
Mr. Luther Archer Jr., LPC, CPSC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 Mcmanaway Dr, Midlothian, VA 23112 Phone: 804-616-5604 | |
Julia Wilkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 Lancaster Gate Ln Apt 206, Midlothian, VA 23113 Phone: 804-519-1463 | |
Jasmine Marie Pollard, LPC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 15521 Midlothian Tpke Ste 105, Midlothian, VA 23113 Phone: 804-423-2550 |