| Miguel Angel Hernandez Concepcion, LCPC, LPC | |
| 
					8401 Maryland Dr, Suite 8092, Richmond, VA 23294  | |
| (703) 928-6960 | |
| Not Available | 
| Full Name | Miguel Angel Hernandez Concepcion | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Professional | 
| Location | 8401 Maryland Dr, Richmond, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306588124 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC11875 (Maryland) | Primary | 
| 101Y00000X | Counselor | 0701013422 (Virginia) | Secondary | 
| Entity Name | Grow Healthcare Group Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Miguel Angel Hernandez Concepcion, LCPC, LPC 2257 Sweetbriar Dr, Alexandria, VA 22307-1550 Ph: (301) 458-0011  | Miguel Angel Hernandez Concepcion, LCPC, LPC 8401 Maryland Dr, Suite 8092, Richmond, VA 23294 Ph: (703) 928-6960  | 
Lauren Lusk,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Byrd Ave, Richmond, VA 23230 Phone: 804-592-6311  | |
Trisha Jasmine Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Byrd Ave, Richmond, VA 23230 Phone: 804-592-6311  | |
Mark C. Taylor, MSW, LMHP-S, CSAC, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1731 N 28th St, Richmond, VA 23223 Phone: 804-301-8400  | |
Ms. Pamela Kavanaugh Douglas, MSN,APRN,BC Counselor Medicare: Accepting Medicare Assignments Practice Location: 6722 Patterson Ave, Suite B, Richmond, VA 23226 Phone: 804-282-4000 Fax: 804-282-7799  | |
Wanda A. Crockett, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2006 Bremo Rd, Suite 101, Richmond, VA 23226 Phone: 804-288-1881 Fax: 804-288-1881  | |
Steven Lawrence Ecker, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4915 Radford Ave, Richmond, VA 23230 Phone: 804-359-3370 Fax: 804-359-1649  | |
Mrs. Joanne Clarke Seawell, LPC/LMFT Counselor Medicare: Medicare Enrolled Practice Location: 6603 Irongate Sq, Richmond, VA 23234 Phone: 804-743-0960  |