| Mr Timothy Wilson, MA, NCC | |
|
1047 Vista Park Dr Ste A, Forest, VA 24551-4362 | |
| (434) 616-2388 | |
| Not Available |
| Full Name | Mr Timothy Wilson |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 7 Years |
| Location | 1047 Vista Park Dr Ste A, Forest, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497340244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0704012471 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sitting Well At The Well Inc | 6709374325 | 3 |
| Entity Name | Sitting Well at the Well Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801526991 PECOS PAC ID: 6709374325 Enrollment ID: O20251024000141 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy Wilson, MA, NCC 1047 Vista Park Dr Ste A, Forest, VA 24551-4362 Ph: (434) 616-2388 | Mr Timothy Wilson, MA, NCC 1047 Vista Park Dr Ste A, Forest, VA 24551-4362 Ph: (434) 616-2388 |
Pius Asamoah, Counselor Medicare: Not Enrolled in Medicare Practice Location: 316 Brook Park Pl Ste A1, Forest, VA 24551 Phone: 434-533-1088 Fax: 434-664-1177 |
Ms. Meredith Ryan Smith, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1443 Crossings Center Dr Ste A, Forest, VA 24551 Phone: 434-219-5621 |
Destini Gray, Counselor Medicare: May Accept Medicare Assignments Practice Location: 1075 Light Blvd, Forest, VA 24551 Phone: 434-384-1594 |
Jason Banks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 316 Brook Park Pl Ste A1, Forest, VA 24551 Phone: 434-533-1088 Fax: 434-664-1177 |
Krystal Frailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Gristmill Dr, Forest, VA 24551 Phone: 434-202-4080 |
Haley Latta, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Gristmill Dr, Forest, VA 24551 Phone: 434-202-4080 |
Brittany L Finch, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 1047 Vista Park Dr Ste A, Forest, VA 24551 Phone: 434-616-2388 Fax: 434-616-2344 |