| Nicole Smith, | |
|
150 N Muhlenberg St, Woodstock, VA 22664-1462 | |
| (540) 908-8585 | |
| Not Available |
| Full Name | Nicole Smith |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 150 N Muhlenberg St, Woodstock, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619699097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 0704014631 (Virginia) | Primary |
| Entity Name | Lifebulb Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699491464 PECOS PAC ID: 2062881162 Enrollment ID: O20221213000564 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Smith, 316 S Main St, Woodstock, VA 22664-1254 Ph: (540) 908-8585 | Nicole Smith, 150 N Muhlenberg St, Woodstock, VA 22664-1462 Ph: (540) 908-8585 |
Beth Rudy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 147 N Main St, Woodstock, VA 22664 Phone: 540-325-9000 | |
Jennifer Nicole Wimer, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 316 S Main St, Woodstock, VA 22664 Phone: 540-908-8585 | |
Charles Hinshaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 N Muhlenberg St, Woodstock, VA 22664 Phone: 540-878-6826 | |
Catherine Mcglaun Mendoza, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 S Main St, Woodstock, VA 22664 Phone: 540-335-0660 Fax: 540-459-1739 | |
Linda Wheeler Smith, LPC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 N Muhlenberg St, Woodstock, VA 22664 Phone: 540-327-4018 | |
Holly P Markley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 S Muhlenberg St # 442, Woodstock, VA 22664 Phone: 540-895-8180 | |
Ashley Stovall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1231 Susan Ave, Woodstock, VA 22664 Phone: 540-459-5155 |