| Shannon L Hodges, LPC | |
|
414 Main Street, Warsaw, VA 22572 | |
| (804) 333-3671 | |
| (804) 333-3657 |
| Full Name | Shannon L Hodges |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 414 Main Street, Warsaw, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437321114 | NPI | - | NPPES |
| 1497717615 | Other | VA | VA PREMIER |
| 1497717615 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701004172 (Virginia) | Primary |
| Entity Name | Middle Peninsula Northern Neck Mental Health & Retardation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497717615 PECOS PAC ID: 1254235989 Enrollment ID: O20031124000358 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon L Hodges, LPC 3664 Desha Rd, Tappahannock, VA 22560-5422 Ph: (804) 445-5175 | Shannon L Hodges, LPC 414 Main Street, Warsaw, VA 22572 Ph: (804) 333-3671 |
Beate Rose, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 414 Main St, Warsaw, VA 22572 Phone: 804-333-6939 Fax: 804-695-8122 | |
Wanda J Dungan, L.P.C. Counselor Medicare: Accepting Medicare Assignments Practice Location: 414 Main St, Warsaw, VA 22572 Phone: 804-333-3671 Fax: 804-333-3657 | |
Stephanie Hope White, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 622 Main St, Warsaw, VA 22572 Phone: 804-472-3706 Fax: 866-639-3167 |