| Michaela Afton Barnes, | |
|
2011 2nd St, Richlands, VA 24641-2305 | |
| (276) 345-9900 | |
| (276) 345-9901 |
| Full Name | Michaela Afton Barnes |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 2011 2nd St, Richlands, Virginia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114410016 | NPI | - | NPPES |
| 1114410016 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701011274 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Tennessee Recovery Pllc | 9436434909 | 19 |
| Entity Name | East Tennessee Recovery PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114462215 PECOS PAC ID: 9436434909 Enrollment ID: O20201021002606 |
| Mailing Address | Practice Location Address |
|---|---|
| Michaela Afton Barnes, 2408 Susannah St Ste 1, Johnson City, TN 37601-1765 Ph: (423) 434-6677 | Michaela Afton Barnes, 2011 2nd St, Richlands, VA 24641-2305 Ph: (276) 345-9900 |
Kenny Fields, Counselor Medicare: Not Enrolled in Medicare Practice Location: 169 Suffolk Ave Ste 1, Richlands, VA 24641 Phone: 276-821-2260 |
Nathan Vicars, Counselor Medicare: Not Enrolled in Medicare Practice Location: 169 Suffolk Ave Ste 1, Richlands, VA 24641 Phone: 276-821-2260 |
Abbigail Zedd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 169 Suffolk Ave Ste 1, Richlands, VA 24641 Phone: 276-821-2260 |
Ralph Lambert Lambert, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Ivy Rock Drive, Richlands, VA 24641 Phone: 276-245-6187 |
Justin Roy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 169 Suffolk Ave Ste 1, Richlands, VA 24641 Phone: 276-821-2260 |
Mr. Bradley Todd Kinder, LPC, CSAC Counselor Medicare: Medicare Enrolled Practice Location: 169 Suffolk Ave Ste 1, Richlands, VA 24641 Phone: 276-963-0111 Fax: 276-963-0005 |
Kimberly Chandler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 169 Suffolk Ave Ste 1, Richlands, VA 24641 Phone: 276-963-0111 Fax: 276-963-0005 |