| Ms Tammy Marie Beaven, LPC | |
|
4910 Prince George Dr, Prince George, VA 23875-2621 | |
| (804) 541-8660 | |
| (804) 452-4143 |
| Full Name | Ms Tammy Marie Beaven |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 30 Years |
| Location | 4910 Prince George Dr, Prince George, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730925645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0701013714 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| District 19 Community Services Board | 4082502398 | 7 |
| Entity Name | District 19 Community Services Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225094451 PECOS PAC ID: 4082502398 Enrollment ID: O20040421001639 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tammy Marie Beaven, LPC Po Box 1118, Prince George, VA 23875-1081 Ph: (804) 541-8660 | Ms Tammy Marie Beaven, LPC 4910 Prince George Dr, Prince George, VA 23875-2621 Ph: (804) 541-8660 |
Jennifer Catherine Fernandez, Counselor Medicare: Medicare Enrolled Practice Location: 5000 Owens Way Apt 1033, Prince George, VA 23875 Phone: 347-461-7297 | |
Ms. Carol Jean Cherich, LPC-LADAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 7009 Hearthside Dr, Prince George, VA 23875 Phone: 301-956-3185 | |
Kimberly Mondezie, LPC, CSAC, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7008 Maple Leaf Ln, Prince George, VA 23875 Phone: 804-439-0871 | |
Elizabeth Dillard, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4140 Crossings Ct Ste 101-103, Prince George, VA 23875 Phone: 804-408-4806 | |
Natasha Gonzalez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7020 Birchett Dr, Prince George, VA 23875 Phone: 804-514-5290 | |
Leah Marie Harlan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11917 Old Stage Rd, Prince George, VA 23875 Phone: 804-898-4609 | |
Ruthe Laurore, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4701 Owens Way Ste 200, Prince George, VA 23875 Phone: 804-458-5500 Fax: 804-458-5501 |