| Mrs Mandy Bass, MA, LPC, NCC | |
|
14411 Justice Rd Ste B, Midlothian, VA 23113-6907 | |
| (434) 962-9730 | |
| (276) 597-5158 |
| Full Name | Mrs Mandy Bass |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 14411 Justice Rd Ste B, Midlothian, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396386025 | NPI | - | NPPES |
| 601448936 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701008636 (Virginia) | Primary |
| Entity Name | Rubicon Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912592957 PECOS PAC ID: 4385084417 Enrollment ID: O20240506003638 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mandy Bass, MA, LPC, NCC 17000 Old Westridge Dr, Moseley, VA 23120-2340 Ph: (434) 962-9730 | Mrs Mandy Bass, MA, LPC, NCC 14411 Justice Rd Ste B, Midlothian, VA 23113-6907 Ph: (434) 962-9730 |
Catherine Desaussure Ogletree, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2820 Waterford Lake Dr Ste 102, Midlothian, VA 23112 Phone: 894-658-4509 | |
Ms. Lynda Hale Leslie, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1700 Huguenot Rd, Suite D, Midlothian, VA 23113 Phone: 804-263-3775 Fax: 804-325-1670 | |
Mr. Anthony Penn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2625 Colgrave Rd, Midlothian, VA 23112 Phone: 804-301-9219 | |
Micah Danielle Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13817 Village Mill Dr Ste R, Midlothian, VA 23114 Phone: 617-379-0496 | |
Mr. Luther Archer Jr., LPC, CPSC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 Mcmanaway Dr, Midlothian, VA 23112 Phone: 804-616-5604 | |
Julia Wilkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 Lancaster Gate Ln Apt 206, Midlothian, VA 23113 Phone: 804-519-1463 | |
Jasmine Marie Pollard, LPC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 15521 Midlothian Tpke Ste 105, Midlothian, VA 23113 Phone: 804-423-2550 |