| Michele J Clark, LPC | |
|
289 Independence Blvd, Ste 245, Virginia Beach, VA 23462-5493 | |
| (757) 385-0850 | |
| (757) 518-9713 |
| Full Name | Michele J Clark |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 289 Independence Blvd, Virginia Beach, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326326729 | NPI | - | NPPES |
| 1861562472 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701003827 (Virginia) | Primary |
| Entity Name | City Of Chesapeake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073650099 PECOS PAC ID: 6204885601 Enrollment ID: O20050112000805 |
| Mailing Address | Practice Location Address |
|---|---|
| Michele J Clark, LPC 1305 Almond Ct, Chesapeake, VA 23323-5623 Ph: (757) 214-8758 | Michele J Clark, LPC 289 Independence Blvd, Ste 245, Virginia Beach, VA 23462-5493 Ph: (757) 385-0850 |
Joy J Sprenkle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2697 International Pkwy, Virginia Beach, VA 23452 Phone: 757-301-7129 Fax: 757-301-7211 | |
Caitlin Cavanaugh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Lynnhaven Rd Ste 308, Virginia Beach, VA 23452 Phone: 757-222-4944 | |
Mr. Samuel James Johnson Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 2524 Hidden Shores Dr Apt 103, Virginia Beach, VA 23454 Phone: 757-235-1811 | |
Cheryl A St John, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 289 Independence Blvd, Suite 138, Virginia Beach, VA 23462 Phone: 757-385-4980 | |
Rebecca Provost, LPC Counselor Medicare: Medicare Enrolled Practice Location: 921 First Colonial Rd Ste 1711, Virginia Beach, VA 23454 Phone: 757-932-8057 | |
Lydia Steele, LPC Counselor Medicare: Medicare Enrolled Practice Location: 228 N Lynnhaven Rd Ste 110, Virginia Beach, VA 23452 Phone: 757-340-6100 | |
Frank D Bond, LPC Counselor Medicare: Medicare Enrolled Practice Location: 780 Lynnhaven Pkwy Ste 340, Virginia Beach, VA 23452 Phone: 757-301-8747 |