| Ms Emma L Short, LPC, CSOTP | |
|
514 E Atlantic St, South Hill, VA 23970-2704 | |
| (434) 949-6360 | |
| Not Available |
| Full Name | Ms Emma L Short |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 514 E Atlantic St, South Hill, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124216577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 0812000550 (Virginia) | Secondary |
| 101YP2500X | Counselor - Professional | 0701003580 (Virginia) | Primary |
| Entity Name | Meherrin River Counseling Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942614631 PECOS PAC ID: 3870811565 Enrollment ID: O20240221004397 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Emma L Short, LPC, CSOTP Po Box 211, Alberta, VA 23821-0211 Ph: (434) 949-6360 | Ms Emma L Short, LPC, CSOTP 514 E Atlantic St, South Hill, VA 23970-2704 Ph: (434) 949-6360 |
Prof. Judith Thorpe Shepherd, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 815 Lees Ct, South Hill, VA 23970 Phone: 434-447-5980 | |
Margaret Carolyn Ward-thompson, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 924 W Atlantic St, South Hill, VA 23970 Phone: 434-447-3566 | |
Latonya Fleming, BA/ QMHP-A/C Counselor Medicare: Not Enrolled in Medicare Practice Location: 3661 Plank Rd, South Hill, VA 23970 Phone: 252-673-9771 | |
Miss Ginger Nicole Freeman, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 805 Chaptico Rd, South Hill, VA 23970 Phone: 434-233-1701 | |
Ms. Tina Louise Bracey, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 South Hill Avenue, South Hill, VA 23970 Phone: 434-584-9434 Fax: 888-722-4701 | |
Brittany A Ponton, LPC Counselor Medicare: Medicare Enrolled Practice Location: 501 N Mecklenburg Ave, South Hill, VA 23970 Phone: 434-447-7447 |