| Brshelton Companies Llc | |
|
6810 Teagle Ln Gloucester VA 23061-5386 | |
| (804) 210-1104 | |
| Not Available |
| Full Name | Brshelton Companies Llc |
|---|---|
| Speciality | Counselor |
| Location | 6810 Teagle Ln, Gloucester, Virginia |
| Authorized Official Name and Position | Richard H Shelton (MANAGING MEMBER) |
| Authorized Official Contact | 7039660317 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brshelton Companies Llc 6810 Teagle Ln Gloucester VA 23061-5386 Ph: (804) 210-1104 | Brshelton Companies Llc 6810 Teagle Ln Gloucester VA 23061-5386 Ph: (804) 210-1104 |
| NPI Number | 1174222160 |
|---|---|
| Provider Enumeration Date | 02/28/2023 |
| Last Update Date | 06/20/2023 |
| Certification Date | 06/20/2023 |
| Medicare PECOS PAC ID | 3779944699 |
|---|---|
| Medicare Enrollment ID | O20230725002433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174222160 | NPI | - | NPPES |
| Provider Name | Regina L Gerstman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598851370 PECOS PAC ID: 1951361757 Enrollment ID: I20041015000611 |
| Provider Name | Robert S Falk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730133554 PECOS PAC ID: 7012928153 Enrollment ID: I20061205000118 |
| Provider Name | Anthony Foy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518977156 PECOS PAC ID: 3971635822 Enrollment ID: I20100713000531 |
| Provider Name | Valarie Sikes-nova |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184661985 PECOS PAC ID: 5193983815 Enrollment ID: I20120227000025 |
| Provider Name | Jennifer Pittman-dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497254320 PECOS PAC ID: 5395090484 Enrollment ID: I20180613001569 |
| Provider Name | Andrea M Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326189226 PECOS PAC ID: 5799107447 Enrollment ID: I20200625001010 |
| Provider Name | Kristen Hall Setty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801533831 PECOS PAC ID: 2961856729 Enrollment ID: I20230927002231 |
| Provider Name | Victor Morgan Moss |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376817049 PECOS PAC ID: 7517305683 Enrollment ID: I20240409002033 |
| Provider Name | Penny Barbara Patton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1578837373 PECOS PAC ID: 6305284340 Enrollment ID: I20240409004816 |
| Provider Name | Anne Bennett Morrissette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487335071 PECOS PAC ID: 9638518046 Enrollment ID: I20240418001567 |
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