| Ms Kim Carter, LPC, LPCC, NCC | |
|
507 Park Ave Sw, Norton, VA 24273-2018 | |
| (276) 679-1195 | |
| (276) 679-2719 |
| Full Name | Ms Kim Carter |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 507 Park Ave Sw, Norton, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457625402 | NPI | - | NPPES |
| 0701005355 | Other | VA | LICENSED PROFESSIONAL COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701005355 (Virginia) | Secondary |
| 101YP2500X | Counselor - Professional | 1402 (Kentucky) | Primary |
| Entity Name | Blue Ridge Medical Management Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326159567 PECOS PAC ID: 9739099441 Enrollment ID: O20040715001336 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kim Carter, LPC, LPCC, NCC 1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192 Ph: (423) 302-6567 | Ms Kim Carter, LPC, LPCC, NCC 507 Park Ave Sw, Norton, VA 24273-2018 Ph: (276) 679-1195 |
Brittany Michelle Wampler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 Park Ave Nw, Norton, VA 24273 Phone: 276-644-7690 Fax: 276-226-9116 | |
Tara Pope, Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Park Ave Nw, Norton, VA 24273 Phone: 276-644-7690 | |
Kayla Newsom, Counselor Medicare: Medicare Enrolled Practice Location: 620 Park Ave Nw, Norton, VA 24273 Phone: 276-644-7690 | |
Stephen Souther, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 Park Avenue Sw, Norton, VA 24273 Phone: 276-700-2768 | |
Crystal Sluss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Park Ave Nw, Norton, VA 24273 Phone: 276-644-7990 | |
Carrie Ann Burke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Anderson Hollow Rd Ste 200, Norton, VA 24273 Phone: 276-679-1045 Fax: 276-679-1047 |