| Mrs Trevene Gordon, MA, LPC, CSAC | |
|
3200 Ransom Hills Rd, North Chesterfield, VA 23237-3571 | |
| (804) 502-3723 | |
| Not Available |
| Full Name | Mrs Trevene Gordon |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 3200 Ransom Hills Rd, North Chesterfield, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336882315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0710103698 (Virginia) | Secondary |
| 101YP2500X | Counselor - Professional | 0701013512 (Virginia) | Primary |
| Entity Name | Virginia Pac Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073042800 PECOS PAC ID: 4587930672 Enrollment ID: O20171017002271 |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20220802002024 |
| Entity Name | Cs Pacs 3 Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20240821003368 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Trevene Gordon, MA, LPC, CSAC 3200 Ransom Hills Rd, North Chesterfield, VA 23237-3571 Ph: (804) 502-3723 | Mrs Trevene Gordon, MA, LPC, CSAC 3200 Ransom Hills Rd, North Chesterfield, VA 23237-3571 Ph: (804) 502-3723 |
Ms. Sumara Wiggins, LPC, CRC Counselor Medicare: Medicare Enrolled Practice Location: 1905 Huguenot Rd Ste 306, North Chesterfield, VA 23235 Phone: 804-301-3424 Fax: 804-800-2751 | |
Daisy Kate Bedser, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10710 Midlothian Tpke Ste 127, North Chesterfield, VA 23235 Phone: 804-243-8395 | |
Mrs. Lindsey Court Kirchmier, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Moorefield Park Dr Ste 204, North Chesterfield, VA 23236 Phone: 919-357-7426 | |
Mrs. Shameka Clark-savage, LPC Counselor Medicare: Medicare Enrolled Practice Location: 10710 Midlothian Tpke Ste 127, North Chesterfield, VA 23235 Phone: 804-207-6737 | |
Ms. Linda Ann Noronha, LPC Counselor Medicare: Medicare Enrolled Practice Location: 9023 Forest Hill Ave, North Chesterfield, VA 23235 Phone: 804-218-5678 Fax: 804-800-8423 | |
Jasmine Ariana Norman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1901 Huguenot Rd Ste 312, North Chesterfield, VA 23235 Phone: 804-889-2384 | |
Margaret Gravely, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Moorefield Park Dr Ste 140, North Chesterfield, VA 23236 Phone: 804-719-1966 |