| Ann Kilgore Diem, LMFT | |
|
14801 Chesdin Green Way, Chesterfield, VA 23838-3278 | |
| (714) 322-9761 | |
| Not Available |
| Full Name | Ann Kilgore Diem |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 14801 Chesdin Green Way, Chesterfield, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447559919 | NPI | - | NPPES |
| 601048159 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 0717001358 (Virginia) | Primary |
| 106H00000X | Marriage & Family Therapist | MFC 34408 (California) | Secondary |
| Entity Name | Balance Behavioral Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912338914 PECOS PAC ID: 8022333210 Enrollment ID: O20150210001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Kilgore Diem, LMFT 14801 Chesdin Green Way, Chesterfield, VA 23838-3278 Ph: (714) 322-9761 | Ann Kilgore Diem, LMFT 14801 Chesdin Green Way, Chesterfield, VA 23838-3278 Ph: (714) 322-9761 |
Kimberly L Baker, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5107 Parrish Creek Ter, Chesterfield, VA 23832 Phone: 919-906-6048 | |
Melece Vida Meservy, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10003 Courtview Ln, Chesterfield, VA 23832 Phone: 804-898-3800 | |
Crystal Jones, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7800 Hampton Meadows Ln, Chesterfield, VA 23832 Phone: 804-922-1837 | |
Mr. Roscoe David Stitt, LPC, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 9844 Lori Rd, Suite #100, Chesterfield, VA 23832 Phone: 804-751-0453 Fax: 804-796-1997 | |
Stefanie Charisse Jackson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9846 Lori Rd Ste 201, Chesterfield, VA 23832 Phone: 404-372-5538 |