| Ms Laura R Simmons-fonner, MA, LPC | |
|
10455 White Granite Dr Ste 400, Oakton, VA 22124-2764 | |
| (703) 536-9000 | |
| Not Available |
| Full Name | Ms Laura R Simmons-fonner |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 10455 White Granite Dr Ste 400, Oakton, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821113366 | NPI | - | NPPES |
| 4945247 | Medicaid | VA | |
| 292848 | Other | VA | AMERIGROUP |
| 105700 | Other | VA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701003597 (Virginia) | Primary |
| Entity Name | Hopelink Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275639684 PECOS PAC ID: 5597734319 Enrollment ID: O20240125002328 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Laura R Simmons-fonner, MA, LPC 10455 White Granite Dr Ste 400, Oakton, VA 22124-2764 Ph: (703) 536-9000 | Ms Laura R Simmons-fonner, MA, LPC 10455 White Granite Dr Ste 400, Oakton, VA 22124-2764 Ph: (703) 536-9000 |
Clarenz Bustamante, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10455 White Granite Dr, Oakton, VA 22124 Phone: 703-536-9000 | |
Dr. Patrice Beth Garver, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2915 Hunter Mill Rd, Suite 21, Oakton, VA 22124 Phone: 703-281-6058 | |
Samantha Olivia Milgrim, M.A. , R.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 10455 White Granite Dr, Oakton, VA 22124 Phone: 571-567-1418 | |
Mrs. Ellen Gold, MPS, BCDMT, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11726 Lariat Lanee, Oakton, VA 22124 Phone: 703-860-8188 | |
Kathy Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2915 Hunter Mill Rd, Suite 14, Oakton, VA 22124 Phone: 703-242-0245 Fax: 703-242-7110 | |
Brittney Nance, LMHP-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 10455 White Granite Dr, Oakton, VA 22124 Phone: 703-233-4032 | |
Aurora Rose Klyne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2960 Chain Bridge Rd Ste 200, Oakton, VA 22124 Phone: 703-490-0336 |