| Mary Alice Fields, | |
|
1006 Us Highway 23 N, Weber City, VA 24290-7021 | |
| (276) 225-0976 | |
| (276) 225-1241 |
| Full Name | Mary Alice Fields |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1006 Us Highway 23 N, Weber City, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043507478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 0701005267 (Virginia) | Primary |
| Entity Name | Thrive Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20180531001919 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Alice Fields, 1167 Spratlin Park Dr, Gray, TN 37615-6205 Ph: (423) 467-3600 | Mary Alice Fields, 1006 Us Highway 23 N, Weber City, VA 24290-7021 Ph: (276) 225-0976 |
Amy Renee Langston, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1006 Us Highway 23 N, Weber City, VA 24290 Phone: 276-225-0976 Fax: 423-467-3644 | |
Mrs. Rachel Lynn Carter, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1006 Us Highway 23 N, Weber City, VA 24290 Phone: 276-225-0976 Fax: 423-467-3644 | |
Joshua Holbrook, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1006 Us Highway 23 North, Weber City, VA 24290 Phone: 276-225-0976 Fax: 423-467-3644 |