Omar Sharif Higgins, | |
123 S Main St, Blackstone, VA 23824-1841 | |
(434) 446-5259 | |
Not Available |
Full Name | Omar Sharif Higgins |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 123 S Main St, Blackstone, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710563770 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | T63491047 (Virginia) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514 |
Mailing Address | Practice Location Address |
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Omar Sharif Higgins, 123 S Main St Apt B, Blackstone, VA 23824-1841 Ph: () - | Omar Sharif Higgins, 123 S Main St, Blackstone, VA 23824-1841 Ph: (434) 446-5259 |
Megan Giannini, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 S Main St, Blackstone, VA 23824 Phone: 434-264-3209 | |
Mrs. Rosa Jeanene Fisher, LPC Counselor Medicare: Medicare Enrolled Practice Location: 116 W Broad St, Blackstone, VA 23824 Phone: 434-264-3209 Fax: 434-264-3224 | |
Deandra Michelle Oliver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 S Main St, Blackstone, VA 23824 Phone: 434-264-3209 Fax: 434-264-3224 | |
Mrs. Jennifer Bunn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 609 Church St, Blackstone, VA 23824 Phone: 434-294-7486 |