| Mark Hineline, | |
|
13623 James Madison Hwy, Palmyra, VA 22963-4300 | |
| (434) 589-8276 | |
| Not Available |
| Full Name | Mark Hineline |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 13623 James Madison Hwy, Palmyra, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063137792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0701011746 (Virginia) | Primary |
| Entity Name | Region Ten Community Services Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942270699 PECOS PAC ID: 3971401308 Enrollment ID: O20031223000256 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Hineline, Po Box 184, Palmyra, VA 22963-0184 Ph: (434) 589-8276 | Mark Hineline, 13623 James Madison Hwy, Palmyra, VA 22963-4300 Ph: (434) 589-8276 |
Mr. Devin Thomas Byam, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 86 Joshua Ln, Palmyra, VA 22963 Phone: 434-207-2554 | |
Tristin Federice, Counselor Medicare: Not Enrolled in Medicare Practice Location: 86 Joshua Ln, Palmyra, VA 22963 Phone: 434-207-2554 | |
Aisha Nicole Williams-cusano, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13623 James Madison Hwy, Palmyra, VA 22963 Phone: 434-589-8276 Fax: 434-589-2690 | |
Megan Osburn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Laguna Rd, Palmyra, VA 22963 Phone: 434-644-1640 | |
James E Moyer, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 13683 James Madison Hwy, Palmyra, VA 22963 Phone: 434-962-9347 | |
Kristen Noel Maxwell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 86 Joshua Ln, Palmyra, VA 22963 Phone: 434-207-2554 |