| Ms Taylor Breanne Bowen, LPC | |
|
200 N 22nd St, Richmond, VA 23223-7020 | |
| (804) 644-9590 | |
| (804) 649-2151 |
| Full Name | Ms Taylor Breanne Bowen |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 200 N 22nd St, Richmond, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295487973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701011734 (Virginia) | Primary |
| Entity Name | Southside Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700890761 PECOS PAC ID: 4284660507 Enrollment ID: O20050708000612 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Taylor Breanne Bowen, LPC 200 N 22nd St, Richmond, VA 23223-7020 Ph: (804) 644-9590 | Ms Taylor Breanne Bowen, LPC 200 N 22nd St, Richmond, VA 23223-7020 Ph: (804) 644-9590 |
Lauren Lusk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Byrd Ave, Richmond, VA 23230 Phone: 804-592-6311 | |
Trisha Jasmine Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Byrd Ave, Richmond, VA 23230 Phone: 804-592-6311 | |
Mark C. Taylor, MSW, LMHP-S, CSAC, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1731 N 28th St, Richmond, VA 23223 Phone: 804-301-8400 | |
Ms. Pamela Kavanaugh Douglas, MSN,APRN,BC Counselor Medicare: Accepting Medicare Assignments Practice Location: 6722 Patterson Ave, Suite B, Richmond, VA 23226 Phone: 804-282-4000 Fax: 804-282-7799 | |
Wanda A. Crockett, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2006 Bremo Rd, Suite 101, Richmond, VA 23226 Phone: 804-288-1881 Fax: 804-288-1881 | |
Steven Lawrence Ecker, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4915 Radford Ave, Richmond, VA 23230 Phone: 804-359-3370 Fax: 804-359-1649 | |
Mrs. Joanne Clarke Seawell, LPC/LMFT Counselor Medicare: Accepting Medicare Assignments Practice Location: 6603 Irongate Sq, Richmond, VA 23234 Phone: 804-743-0960 |