| Ms Beulah Mae Bolden, LPC | |
|
226 Union Boulevard, Appomattox, VA 24522 | |
| (434) 352-8239 | |
| Not Available |
| Full Name | Ms Beulah Mae Bolden |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 226 Union Boulevard, Appomattox, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851965412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701010411 (Virginia) | Primary |
| Entity Name | Horizon Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871542340 PECOS PAC ID: 5092791814 Enrollment ID: O20040624000675 |
| Entity Name | Centra Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Beulah Mae Bolden, LPC 2215 Langhorne Rd, Lynchburg, VA 24501-1121 Ph: () - | Ms Beulah Mae Bolden, LPC 226 Union Boulevard, Appomattox, VA 24522 Ph: (434) 352-8239 |
Andrew J Chandler Iii, LPC, LSATP, CSOTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2160 Church St # 1, Appomattox, VA 24522 Phone: 434-401-4104 Fax: 434-664-1587 | |
Shana Harvey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 290 Court Street, Appomattox, VA 24522 Phone: 434-660-5040 | |
Joetricia Humbles, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 226 Union Blvd, Appomattox, VA 24522 Phone: 434-352-8239 | |
Mr. Richard Floyd Guill, LPC Counselor Medicare: Medicare Enrolled Practice Location: 226 Union Blvd, Appomattox, VA 24522 Phone: 434-352-8239 | |
Pamela Kaye Smith, MED, CEAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 290 Court Street, Appomattox, VA 24522 Phone: 434-851-4855 | |
Ms. Kimberly Steger, LPC Counselor Medicare: Medicare Enrolled Practice Location: Po Box 783, Appomattox, VA 24522 Phone: 434-623-0382 Fax: 888-886-3760 |