Mrs Maria Powell Dierdorf, LPC, LSATP | |
2807 N Parham Rd Ste 320, Henrico, VA 23294-4458 | |
(804) 929-1354 | |
Not Available |
Full Name | Mrs Maria Powell Dierdorf |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2807 N Parham Rd Ste 320, Henrico, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629477146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 0718000424 (Virginia) | Secondary |
101YP2500X | Counselor - Professional | 0701008644 (Virginia) | Primary |
Entity Name | Myspectrum Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174029359 PECOS PAC ID: 5799027843 Enrollment ID: O20190422001369 |
Mailing Address | Practice Location Address |
---|---|
Mrs Maria Powell Dierdorf, LPC, LSATP 9900 Alfaree Rd, North Chesterfield, VA 23237-4115 Ph: (804) 929-1354 | Mrs Maria Powell Dierdorf, LPC, LSATP 2807 N Parham Rd Ste 320, Henrico, VA 23294-4458 Ph: (804) 929-1354 |
Stacy Janell Hunter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9039 W Broad St Ste 1, Henrico, VA 23294 Phone: 804-728-0088 | |
Jasmine M Platania, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2302 Hickory Creek Dr Apt 2b, Henrico, VA 23294 Phone: 901-218-9818 | |
Valerie Dalton Acosta, LPC Counselor Medicare: Medicare Enrolled Practice Location: 11809 Willpage Pl, Henrico, VA 23233 Phone: 804-396-2585 Fax: 804-364-5678 | |
Alanisha Daynell Allen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8401 Mayland Dr Ste P, Henrico, VA 23294 Phone: 703-520-9710 Fax: 703-952-2498 | |
Miss Nachelle Jenkins, M.S LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4837 Old Main St, Henrico, VA 23231 Phone: 804-269-3181 | |
Elizabeth Kelly, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10611 Patterson Ave, Henrico, VA 23238 Phone: 804-912-2947 | |
Mr. Edward Curruth Hill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3108 N Parham Rd, Henrico, VA 23294 Phone: 804-508-0904 |