| Mrs Keshia Diane Ingram, MA,LPC | |
|
714 J Clyde Morris Blvd Ste 180, Newport News, VA 23601-1535 | |
| (757) 706-3309 | |
| Not Available |
| Full Name | Mrs Keshia Diane Ingram |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 714 J Clyde Morris Blvd Ste 180, Newport News, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043824675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701009950 (Virginia) | Primary |
| Entity Name | Central Virginias Preferred Providers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730638107 PECOS PAC ID: 1557793528 Enrollment ID: O20191112003342 |
| Entity Name | Lifebulb Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699491464 PECOS PAC ID: 2062881162 Enrollment ID: O20221213000564 |
| Entity Name | Rhodium Care Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235853698 PECOS PAC ID: 4880059922 Enrollment ID: O20230425002482 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Keshia Diane Ingram, MA,LPC 4a Dorsey Rd, Apt A, Newport News, VA 23606 Ph: (757) 239-1786 | Mrs Keshia Diane Ingram, MA,LPC 714 J Clyde Morris Blvd Ste 180, Newport News, VA 23601-1535 Ph: (757) 706-3309 |
Michelle J Johnson, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 602 Warwickshire Ct, Newport News, VA 23605 Phone: 757-550-5266 | |
Tiffany Brown, Counselor Medicare: Medicare Enrolled Practice Location: 8 San Jose Dr Ste 3e, Newport News, VA 23606 Phone: 757-657-8088 | |
Yana West, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1030 Loftis Blvd Ste 102, Newport News, VA 23606 Phone: 855-284-7483 Fax: 617-807-0958 | |
David Furlong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11713 Jefferson Ave Ste 200, Newport News, VA 23606 Phone: 757-503-2819 Fax: 757-369-1891 | |
Mrs. Lee Kelly Bowditch, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12420 Warwick Blvd, Bldg. 7 Suite C, Newport News, VA 23606 Phone: 757-595-3900 Fax: 757-595-0649 | |
Mary Frances Parrish, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 732 Thimble Shoals Blvd Ste 101, Newport News, VA 23606 Phone: 757-598-1842 | |
Shayla S Woodard, RMFT Counselor Medicare: Medicare Enrolled Practice Location: 751 Thimble Shoals Blvd Ste K, Newport News, VA 23606 Phone: 757-586-5350 |