| Ms Laura Silzle Maloney, ATR-BC, LPC, LMFT | |
|
821 W 21st St Ste 209, Norfolk, VA 23517-1500 | |
| (757) 472-1379 | |
| (757) 585-3521 |
| Full Name | Ms Laura Silzle Maloney |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 821 W 21st St Ste 209, Norfolk, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881776128 | NPI | - | NPPES |
| 010001625 | Medicaid | VA | |
| 1881776128 | Medicaid | VA | |
| 071700169 | Other | VA | LMFT |
| 07010003466 | Other | VA | LPC |
| 1881776128 | Other | PROFESSIONAL COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 0717001169 (Virginia) | Secondary |
| 101YP2500X | Counselor - Professional | 0701003466 (Virginia) | Primary |
| Entity Name | Bold Ruler Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316404544 PECOS PAC ID: 2961833116 Enrollment ID: O20200504001567 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Laura Silzle Maloney, ATR-BC, LPC, LMFT 208 Burleigh Ave, Norfolk, VA 23505-3413 Ph: (757) 630-3301 | Ms Laura Silzle Maloney, ATR-BC, LPC, LMFT 821 W 21st St Ste 209, Norfolk, VA 23517-1500 Ph: (757) 472-1379 |
Kelly Patino Trejo, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7931 Fax: 757-668-9132 | |
Sonnee Da'niel Stanley, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 9612 Wells Pkwy, Norfolk, VA 23503 Phone: 304-888-2910 | |
Ruth H Bybee, LPC Counselor Medicare: Medicare Enrolled Practice Location: 208 E Plume St Ste 327b, Norfolk, VA 23510 Phone: 757-637-0840 | |
Lauren P Jennings, LPC, LMFT, CEAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 N Center Dr Suite 141, Interstate Corporate Center Building 11, Norfolk, VA 23502 Phone: 757-466-0700 Fax: 757-461-4826 | |
Ms. Susan Adams Niedenthal, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6330 Newtown Rd, Suite 300, Norfolk, VA 23502 Phone: 757-466-3336 Fax: 757-455-5750 | |
Jamee Reese, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Tidewater Dr, Ste. A, Norfolk, VA 23504 Phone: 757-533-9242 | |
Rachel Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7460 Central Business Park Dr, Norfolk, VA 23513 Phone: 757-644-6391 |