Mrs Laura Marie Walts, MA, LPC | |
613 Campus Dr Ste 200, Abingdon, VA 24210-9703 | |
(276) 628-1186 | |
Not Available |
Full Name | Mrs Laura Marie Walts |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 613 Campus Dr Ste 200, Abingdon, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003187477 | NPI | - | NPPES |
340720558 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | C0800173 (Ohio) | Secondary |
101YP2500X | Counselor - Professional | 0701013875 (Virginia) | Primary |
Entity Name | Abingdon Physician Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306944350 PECOS PAC ID: 5991705667 Enrollment ID: O20070102000365 |
Entity Name | Mountain States Health Alliance |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245781954 PECOS PAC ID: 6002726718 Enrollment ID: O20161216000941 |
Mailing Address | Practice Location Address |
---|---|
Mrs Laura Marie Walts, MA, LPC 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 952-2111 | Mrs Laura Marie Walts, MA, LPC 613 Campus Dr Ste 200, Abingdon, VA 24210-9703 Ph: (276) 628-1186 |
Charles Zachary Thompson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 610 Campus Dr, Abingdon, VA 24210 Phone: 276-525-1550 Fax: 276-525-1609 | |
Tara Jill Null, LPC, CSAC Counselor Medicare: Medicare Enrolled Practice Location: 353 Falls Dr Nw, Abingdon, VA 24210 Phone: 276-258-5921 | |
Wesley Leuzinger, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Campus Dr, Abingdon, VA 24210 Phone: 276-525-1550 Fax: 276-525-1609 | |
Mrs. Kandace Leanne Miller Phillips, BS CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Campus Dr, Abingdon, VA 24210 Phone: 276-525-1550 Fax: 276-525-1609 | |
Lorri Stiles, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Campus Dr, Abingdon, VA 24210 Phone: 276-525-1550 Fax: 276-525-1609 | |
Camille Hoffman Kingsolver, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Campus Dr, Abingdon, VA 24210 Phone: 276-525-1550 Fax: 276-525-1609 |