| Mrs Sandra Lynne Walker, LPC | |
|
1650 Hwy 18 South, Sparta, NC 28675-9198 | |
| (336) 372-4095 | |
| (828) 262-5687 |
| Full Name | Mrs Sandra Lynne Walker |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1650 Hwy 18 South, Sparta, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780651927 | NPI | - | NPPES |
| N/A | Other | NC | CBHA |
| 6102767 | Medicaid | NC | |
| N/A | Other | NC | MHNET |
| 135PV | Other | NC | BCBS OF NC |
| 2220029 | Other | NC | CIGNA BEHAVIORAL HEALTH |
| D0753 | Other | NC | MEDCOST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4386 (North Carolina) | Primary |
| Entity Name | Capstone Wellness Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780008870 PECOS PAC ID: 9133482383 Enrollment ID: O20180423000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sandra Lynne Walker, LPC Po Box 159, 1650 Hwy 18 South, Sparta, NC 28675-0159 Ph: (336) 372-4095 | Mrs Sandra Lynne Walker, LPC 1650 Hwy 18 South, Sparta, NC 28675-9198 Ph: (336) 372-4095 |
Myra Jensen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1650 Highway 18 South, Sparta, NC 28675 Phone: 336-372-4095 | |
Jennifer Gail Billings, Counselor Medicare: Medicare Enrolled Practice Location: 1650 Nc Highway 18 S, Sparta, NC 28675 Phone: 336-372-4095 | |
Meghann Roberts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1650 Highway 18 South, Sparta, NC 28675 Phone: 336-372-4095 | |
Angela Hash Wagoner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1650 Hwy 18 South, Sparta, NC 28675 Phone: 704-939-1100 Fax: 704-939-1173 | |
Princa E Cox, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1650 Highway 18 South, Sparta, NC 28675 Phone: 336-372-4095 Fax: 828-262-5687 | |
Ashley Jordan Parlier, LCMHC,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 450 N Main St, Sparta, NC 28675 Phone: 336-372-5641 | |
Brandi Page Hamm, LCHMC, LCAS Counselor Medicare: Medicare Enrolled Practice Location: 1650 Hwy 18 South, Sparta, NC 28675 Phone: 336-372-4095 Fax: 336-372-2722 |