| Ms Susan Renee Johnson, LPC | |
|
19056 Greenbush Road, Parksley, VA 23421 | |
| (757) 665-1260 | |
| (757) 665-4184 |
| Full Name | Ms Susan Renee Johnson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 19056 Greenbush Road, Parksley, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275089930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0701005349 (Virginia) | Primary |
| Entity Name | Eastern Shore Community Mh Mr Sas Services Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154411510 PECOS PAC ID: 8729185095 Enrollment ID: O20070521000579 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Susan Renee Johnson, LPC Po Box 1330, Parksley, VA 23421-1330 Ph: (757) 665-1260 | Ms Susan Renee Johnson, LPC 19056 Greenbush Road, Parksley, VA 23421 Ph: (757) 665-1260 |
Ms. Virginia Ravizza, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19056 Greenbush Road, Eastern Shore Behavioral Healthcare Ctr, Parksley, VA 23421 Phone: 757-665-1260 Fax: 757-665-4184 | |
Sharon Parker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19056 Greenbush Road, Parksley, VA 23421 Phone: 757-665-1260 Fax: 757-665-4184 | |
Mrs. Maudene Sherman, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 19056 Greenbush Rd, Parksley, VA 23421 Phone: 757-665-1260 Fax: 757-665-4184 | |
Mrs. Dayl Reid-roberts, LPD Counselor Medicare: Not Enrolled in Medicare Practice Location: 19056 Greenbush Rd, Parksley, VA 23421 Phone: 757-665-1260 Fax: 757-665-4184 | |
Ms. Lori Birch Graham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19056 Greenbush Rd, Parksley, VA 23421 Phone: 757-302-1327 | |
Ms. Jayne Anne Carrels-zeller, MS, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 19056 Greenbush Rd, Parksley, VA 23421 Phone: 608-769-7281 |