| Lifestance Health | |
|
9202 Center Oak Ct Mechanicsville VA 23116-2744 | |
| (804) 207-6737 | |
| (804) 730-2829 |
| Full Name | Lifestance Health |
|---|---|
| Speciality | Psychologist |
| Location | 9202 Center Oak Ct, Mechanicsville, Virginia |
| Authorized Official Name and Position | Ryan Pardo (CHIEF LEGAL OFFICER) |
| Authorized Official Contact | 2063991493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestance Health 9202 Center Oak Ct Mechanicsville VA 23116-2744 Ph: (804) 207-6737 | Lifestance Health 9202 Center Oak Ct Mechanicsville VA 23116-2744 Ph: (804) 207-6737 |
| NPI Number | 1851345805 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Medicare PECOS PAC ID | 0941288583 |
|---|---|
| Medicare Enrollment ID | O20040710000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851345805 | NPI | - | NPPES |
| 440241 | Other | VA | ANTHEM BCBS |
| 30015185590001 | Medicaid | VA | |
| 270615000 | Other | MAGELLAN |
| Provider Name | Kathleen J Mccune |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891713822 PECOS PAC ID: 3870491301 Enrollment ID: I20031222000674 |
| Provider Name | Roy S Wilensky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356358006 PECOS PAC ID: 9032009998 Enrollment ID: I20040316001069 |
| Provider Name | Eileen Marie Mulcahy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952472532 PECOS PAC ID: 2860470846 Enrollment ID: I20040708000270 |
| Provider Name | Wendy S Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801996137 PECOS PAC ID: 9739168634 Enrollment ID: I20040715000072 |
| Provider Name | Carol E Harkrader |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023197688 PECOS PAC ID: 7911965926 Enrollment ID: I20041222000262 |
| Provider Name | Tanya Satterwhite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912037250 PECOS PAC ID: 6406802594 Enrollment ID: I20050322000748 |
| Provider Name | David W Hess |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841307378 PECOS PAC ID: 1052319308 Enrollment ID: I20061120000548 |
| Provider Name | Donna M Paris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174601496 PECOS PAC ID: 3072612845 Enrollment ID: I20070619000472 |
| Provider Name | James R Craft |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831202324 PECOS PAC ID: 9335248756 Enrollment ID: I20070626000749 |
| Provider Name | Jane Kudlas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942381264 PECOS PAC ID: 4880788249 Enrollment ID: I20070917000500 |
| Provider Name | Michael S Ellwood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467490664 PECOS PAC ID: 7517018542 Enrollment ID: I20090701000648 |
| Provider Name | Ross A Yaple |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790988251 PECOS PAC ID: 1658425319 Enrollment ID: I20090813000825 |
| Provider Name | Kimberly K Giancaspro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437399151 PECOS PAC ID: 5890840342 Enrollment ID: I20090904000117 |
| Provider Name | Willar Mae Baum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003849142 PECOS PAC ID: 1759578446 Enrollment ID: I20101207000895 |
| Provider Name | Quanda Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063556363 PECOS PAC ID: 8426237967 Enrollment ID: I20110128000962 |
| Provider Name | Melissa Faith Gross |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942294582 PECOS PAC ID: 5294912184 Enrollment ID: I20110601000597 |
| Provider Name | Maria Nina Dunn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831383835 PECOS PAC ID: 3870760747 Enrollment ID: I20120117000507 |
| Provider Name | Beth Mcgraw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164511234 PECOS PAC ID: 7618129826 Enrollment ID: I20121217000315 |
| Provider Name | Stephen V Deddens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124125786 PECOS PAC ID: 9032362611 Enrollment ID: I20130109000764 |
| Provider Name | Jamie E Bosserman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003170317 PECOS PAC ID: 7618105826 Enrollment ID: I20140115001740 |
| Provider Name | Andrew Matthew Stone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902238876 PECOS PAC ID: 5698995835 Enrollment ID: I20141009002373 |
| Provider Name | Linda G Barker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326322868 PECOS PAC ID: 8527289099 Enrollment ID: I20141027000679 |
| Provider Name | Renee Stewart Hannah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548594286 PECOS PAC ID: 8123240033 Enrollment ID: I20141110000583 |
| Provider Name | Ann E Carnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184032476 PECOS PAC ID: 2668693144 Enrollment ID: I20150127001357 |
| Provider Name | Alicia C Gist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457721383 PECOS PAC ID: 9739499542 Enrollment ID: I20151106001657 |
| Provider Name | Loring T Matthews |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699148189 PECOS PAC ID: 1557663325 Enrollment ID: I20160111002101 |
| Provider Name | Amy Lynn Gallardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821547027 PECOS PAC ID: 3375822661 Enrollment ID: I20161109000392 |
| Provider Name | Belinda Nicole Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114013422 PECOS PAC ID: 0840326138 Enrollment ID: I20161121001412 |
| Provider Name | Enyonam J Jordan Brangman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114112604 PECOS PAC ID: 3678856259 Enrollment ID: I20170206000276 |
| Provider Name | Janice Shubert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508963141 PECOS PAC ID: 4981971371 Enrollment ID: I20170607000506 |
| Provider Name | Noah B Matilsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427315126 PECOS PAC ID: 3072884295 Enrollment ID: I20170807002833 |
| Provider Name | Mary E Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285832980 PECOS PAC ID: 4981788163 Enrollment ID: I20180125002657 |
| Provider Name | Gavin R Cone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659788768 PECOS PAC ID: 8426313594 Enrollment ID: I20180521002803 |
| Provider Name | Nichelle N Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427368000 PECOS PAC ID: 4981905387 Enrollment ID: I20180716001008 |
| Provider Name | Rosebelle De Leon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366636029 PECOS PAC ID: 9931406766 Enrollment ID: I20180814001884 |
| Provider Name | Shrina S Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821435843 PECOS PAC ID: 4082853064 Enrollment ID: I20190117004010 |
| Provider Name | Jewel C Gear |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588850754 PECOS PAC ID: 8527301746 Enrollment ID: I20190509002518 |
| Provider Name | Katie Sinclair Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851812226 PECOS PAC ID: 8820422215 Enrollment ID: I20191217002820 |
| Provider Name | Carrie R Nowell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700958444 PECOS PAC ID: 9436440161 Enrollment ID: I20200110000996 |
| Provider Name | Alana Louissa Chaffee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982161535 PECOS PAC ID: 9537597497 Enrollment ID: I20200309000722 |
| Provider Name | Brittni A Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649810466 PECOS PAC ID: 6709216203 Enrollment ID: I20200424000851 |
| Provider Name | Saundra Trouslot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952935033 PECOS PAC ID: 5092138479 Enrollment ID: I20200701001982 |
| Provider Name | Michelle Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003432949 PECOS PAC ID: 3577988096 Enrollment ID: I20200730003857 |
| Provider Name | Tricia Daigle Northinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578160875 PECOS PAC ID: 1759793086 Enrollment ID: I20201210001317 |
| Provider Name | Jae Hoon Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760726525 PECOS PAC ID: 6901042993 Enrollment ID: I20201215000087 |
| Provider Name | Kristen Mclean |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912533217 PECOS PAC ID: 3779995386 Enrollment ID: I20201223000646 |
| Provider Name | Hyang Gi Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942804372 PECOS PAC ID: 0941613228 Enrollment ID: I20210105002112 |
| Provider Name | Kevina Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225635683 PECOS PAC ID: 6204249204 Enrollment ID: I20210112003146 |
| Provider Name | Patricia S Roy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598801078 PECOS PAC ID: 2163599093 Enrollment ID: I20210121000853 |
| Provider Name | Jacquelyn M Feliciano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023637394 PECOS PAC ID: 9133534860 Enrollment ID: I20210210002667 |
| Provider Name | Kimberly J Warner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033736921 PECOS PAC ID: 1153737820 Enrollment ID: I20210303001992 |
| Provider Name | Stephen Delo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568917698 PECOS PAC ID: 4981007861 Enrollment ID: I20210729002941 |
| Provider Name | Beatrice Craiu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598228421 PECOS PAC ID: 1355746256 Enrollment ID: I20210816001334 |
| Provider Name | Juliet Renee Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841890043 PECOS PAC ID: 4880084003 Enrollment ID: I20211202001513 |
| Provider Name | Dana Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457903205 PECOS PAC ID: 2062802390 Enrollment ID: I20211202002071 |
| Provider Name | Jasmine Janae Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164187142 PECOS PAC ID: 8527459288 Enrollment ID: I20220215000193 |
| Provider Name | Miranda Chakos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093775744 PECOS PAC ID: 3375438146 Enrollment ID: I20221102002096 |
| Provider Name | Brittany Peebles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720614092 PECOS PAC ID: 7416388350 Enrollment ID: I20221104000086 |
| Provider Name | Frinette Maria Checo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386930048 PECOS PAC ID: 6305144783 Enrollment ID: I20221104000091 |
| Provider Name | Jenna E Grimm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184936908 PECOS PAC ID: 6305006156 Enrollment ID: I20221216002466 |
| Provider Name | Komal P Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538514815 PECOS PAC ID: 8224325162 Enrollment ID: I20221221002107 |
| Provider Name | Elaine S Whitaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760498810 PECOS PAC ID: 6406226174 Enrollment ID: I20221221003274 |
| Provider Name | Shealyn Cyr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861406480 PECOS PAC ID: 1153453048 Enrollment ID: I20221227001709 |
| Provider Name | Amanda J Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699220053 PECOS PAC ID: 7517337900 Enrollment ID: I20221229000802 |
| Provider Name | Sarah Granato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912633280 PECOS PAC ID: 0446620850 Enrollment ID: I20221229001761 |
| Provider Name | Elizabeth Fraser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992457139 PECOS PAC ID: 9133599491 Enrollment ID: I20221230001668 |
| Provider Name | Kristine Pantke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033830492 PECOS PAC ID: 4284005778 Enrollment ID: I20230119002703 |
| Provider Name | Alexandre Fleche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194279232 PECOS PAC ID: 1254715220 Enrollment ID: I20230120001829 |
| Provider Name | Stephanie L Schuler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316098197 PECOS PAC ID: 8921479049 Enrollment ID: I20230126003089 |
| Provider Name | Danielle Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538825096 PECOS PAC ID: 2567833429 Enrollment ID: I20230201000751 |
| Provider Name | Jennifer E Hettema |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619641594 PECOS PAC ID: 6709258627 Enrollment ID: I20230202000570 |
| Provider Name | Molley Mittel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982257879 PECOS PAC ID: 0143692079 Enrollment ID: I20230202001117 |
| Provider Name | Rachel Firman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013682640 PECOS PAC ID: 5092187930 Enrollment ID: I20230202001433 |
| Provider Name | Ruth Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841788544 PECOS PAC ID: 3678945540 Enrollment ID: I20230202002954 |
| Provider Name | Elena S Monti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205141660 PECOS PAC ID: 9133594161 Enrollment ID: I20230405001179 |
| Provider Name | Sarah King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194422873 PECOS PAC ID: 5092180042 Enrollment ID: I20230405002181 |
| Provider Name | Donna Marie Simons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104076751 PECOS PAC ID: 4789903279 Enrollment ID: I20230405002370 |
| Provider Name | Anita Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467150326 PECOS PAC ID: 1254796212 Enrollment ID: I20230428001582 |
| Provider Name | Eileen Therese Tehan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932332558 PECOS PAC ID: 1355528662 Enrollment ID: I20230501000074 |
| Provider Name | Amanda Wheeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366063331 PECOS PAC ID: 8426413055 Enrollment ID: I20230503001519 |
| Provider Name | Alyssa Faith Shadbolt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457091415 PECOS PAC ID: 9133585698 Enrollment ID: I20230525002187 |
| Provider Name | Gladys Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841674322 PECOS PAC ID: 8426359654 Enrollment ID: I20230714001569 |
| Provider Name | Arun Paul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083089791 PECOS PAC ID: 0648515858 Enrollment ID: I20230720003508 |
| Provider Name | Marisusan Fryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164165502 PECOS PAC ID: 7719369032 Enrollment ID: I20230726000797 |
| Provider Name | Emily Leann Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356005086 PECOS PAC ID: 6204297757 Enrollment ID: I20230731002077 |
| Provider Name | Kaila Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184080582 PECOS PAC ID: 6002297645 Enrollment ID: I20230731002439 |
| Provider Name | Shaune K Mckinnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740828417 PECOS PAC ID: 7911368436 Enrollment ID: I20230801001021 |
| Provider Name | Baffour Agyeman-duah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225478100 PECOS PAC ID: 4183085509 Enrollment ID: I20230802000983 |
| Provider Name | Margueritte L Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326397506 PECOS PAC ID: 2163883596 Enrollment ID: I20230802001080 |
| Provider Name | Michelle Lynn Capozzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821551938 PECOS PAC ID: 1850752098 Enrollment ID: I20230803002254 |
| Provider Name | Jordan Evans Dawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497247175 PECOS PAC ID: 2961864871 Enrollment ID: I20230809002122 |
| Provider Name | Alesha R Lieser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336595289 PECOS PAC ID: 1052774445 Enrollment ID: I20230901000738 |
| Provider Name | Justin Steele |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932747482 PECOS PAC ID: 2466882030 Enrollment ID: I20230922003832 |
| Provider Name | Michelle L Toland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710235627 PECOS PAC ID: 7315391042 Enrollment ID: I20230928001082 |
| Provider Name | Crystal Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801404744 PECOS PAC ID: 7113371758 Enrollment ID: I20230929002456 |
| Provider Name | Elise Rose Gallie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407596232 PECOS PAC ID: 1254785801 Enrollment ID: I20230929002767 |
| Provider Name | Yvette Zebaze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467865055 PECOS PAC ID: 6608220280 Enrollment ID: I20231002000023 |
| Provider Name | Angela Pearl Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609593458 PECOS PAC ID: 4183070279 Enrollment ID: I20231025003321 |
| Provider Name | Lara W. Hammock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326717851 PECOS PAC ID: 7810343803 Enrollment ID: I20231027000061 |
| Provider Name | Michelle Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194326595 PECOS PAC ID: 5698060622 Enrollment ID: I20231030000076 |
| Provider Name | Adeyinka Rita Ososanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467914127 PECOS PAC ID: 6406202381 Enrollment ID: I20231030000580 |
| Provider Name | Miraslava Khmurets |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447404942 PECOS PAC ID: 9739239773 Enrollment ID: I20231108002370 |
| Provider Name | Lisa Diane Whitnum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104591098 PECOS PAC ID: 8628425659 Enrollment ID: I20231113000722 |
| Provider Name | Pamela Lauren Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083395438 PECOS PAC ID: 2365899002 Enrollment ID: I20231116003578 |
| Provider Name | Carol Susan Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265118475 PECOS PAC ID: 5294183588 Enrollment ID: I20231127003256 |
| Provider Name | Lorin Adegbenro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972196590 PECOS PAC ID: 8022466168 Enrollment ID: I20231129002765 |
| Provider Name | Lerese A Deberry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124686050 PECOS PAC ID: 6406204403 Enrollment ID: I20231201001236 |
| Provider Name | Shameka Clark Savage |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013450741 PECOS PAC ID: 9234587148 Enrollment ID: I20231201002007 |
| Provider Name | Rasheede T Hicks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922314400 PECOS PAC ID: 0749638633 Enrollment ID: I20231204001333 |
| Provider Name | Huiyan Feng |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164042933 PECOS PAC ID: 1759739568 Enrollment ID: I20231204002561 |
| Provider Name | Danielle N Crane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194496430 PECOS PAC ID: 3476901299 Enrollment ID: I20231204003072 |
| Provider Name | Nicole M Hornef |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912546391 PECOS PAC ID: 7416306220 Enrollment ID: I20231205002960 |
| Provider Name | Mary S Zimomra |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780770537 PECOS PAC ID: 3476902123 Enrollment ID: I20231207000717 |
| Provider Name | Samantha L Orrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467917401 PECOS PAC ID: 0143622902 Enrollment ID: I20231208000129 |
| Provider Name | Noeris Montanez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417435496 PECOS PAC ID: 1254780893 Enrollment ID: I20231208000460 |
| Provider Name | Stephanie C Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992817118 PECOS PAC ID: 7315396876 Enrollment ID: I20231208001263 |
| Provider Name | Deeba Khumar-chadha |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871140343 PECOS PAC ID: 5294184750 Enrollment ID: I20231208001426 |
| Provider Name | Natasha Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457059487 PECOS PAC ID: 3173972668 Enrollment ID: I20231208002426 |
| Provider Name | Heidi L Kerger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437890399 PECOS PAC ID: 4486003985 Enrollment ID: I20231208002693 |
| Provider Name | Michelle M Hawbaker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710079629 PECOS PAC ID: 3375992878 Enrollment ID: I20231208002790 |
| Provider Name | Holly A Hargreaves-cormany |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588195556 PECOS PAC ID: 1355790858 Enrollment ID: I20231208002864 |
| Provider Name | Victoria L Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740777242 PECOS PAC ID: 8325497829 Enrollment ID: I20231208002956 |
| Provider Name | Mary C Wiggins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184804601 PECOS PAC ID: 9133578677 Enrollment ID: I20231211000032 |
| Provider Name | Tiffany M Zalusky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386231892 PECOS PAC ID: 3274982715 Enrollment ID: I20231211000146 |
| Provider Name | Shelia E Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417435413 PECOS PAC ID: 2567811946 Enrollment ID: I20231211001493 |
| Provider Name | Nerissa F Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346897915 PECOS PAC ID: 3274982467 Enrollment ID: I20231213002370 |
| Provider Name | Jenna M Pipolo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013587427 PECOS PAC ID: 9032568233 Enrollment ID: I20231213002635 |
| Provider Name | Deborah A Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275207995 PECOS PAC ID: 4183073265 Enrollment ID: I20231214002198 |
| Provider Name | Ronald Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174008619 PECOS PAC ID: 7911356951 Enrollment ID: I20231215000687 |
| Provider Name | Chalita N Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578273611 PECOS PAC ID: 1951750926 Enrollment ID: I20231215001913 |
| Provider Name | Richard A Villa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558679399 PECOS PAC ID: 2163871153 Enrollment ID: I20231215003164 |
| Provider Name | Roshawna M Stokes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407495955 PECOS PAC ID: 9234588237 Enrollment ID: I20231215003286 |
| Provider Name | Sharon B Hopkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518049147 PECOS PAC ID: 5092165803 Enrollment ID: I20231220000450 |
| Provider Name | Staci N Dungee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841867488 PECOS PAC ID: 4284082215 Enrollment ID: I20231228002865 |
| Provider Name | Luon M Fletcher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528688652 PECOS PAC ID: 8527418748 Enrollment ID: I20231229000387 |
| Provider Name | Chase C Butala |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215347687 PECOS PAC ID: 6002267895 Enrollment ID: I20240105001204 |
| Provider Name | Brittany J Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881278158 PECOS PAC ID: 9739530544 Enrollment ID: I20240105002001 |
| Provider Name | Brian Cass |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386259687 PECOS PAC ID: 8628429461 Enrollment ID: I20240105003207 |
| Provider Name | Megan C Davidson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639705247 PECOS PAC ID: 0648621409 Enrollment ID: I20240105003852 |
| Provider Name | Melinda Anne Ensley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336291046 PECOS PAC ID: 5597116145 Enrollment ID: I20240108004096 |
| Provider Name | Kellie T Boyle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407222078 PECOS PAC ID: 6204287717 Enrollment ID: I20240109003998 |
| Provider Name | Brittney N Melton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760159446 PECOS PAC ID: 9335590629 Enrollment ID: I20240111001288 |
| Provider Name | Brittany L Nettingham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043876014 PECOS PAC ID: 0446601744 Enrollment ID: I20240111001654 |
| Provider Name | Cheryl L Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922118132 PECOS PAC ID: 9032560214 Enrollment ID: I20240111004789 |
| Provider Name | Jennifer J Mixson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396115960 PECOS PAC ID: 9234581158 Enrollment ID: I20240116004597 |
| Provider Name | Sherita Latrice Rhodes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588359525 PECOS PAC ID: 3173976982 Enrollment ID: I20240129001995 |
| Provider Name | Allyson P Luna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598489452 PECOS PAC ID: 6204279540 Enrollment ID: I20240203000211 |
| Provider Name | Amanda Plumb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184021842 PECOS PAC ID: 0648613984 Enrollment ID: I20240203000264 |
| Provider Name | Priscilla A Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700039633 PECOS PAC ID: 9537502927 Enrollment ID: I20240213003473 |
| Provider Name | Alyssa C Strickland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902227861 PECOS PAC ID: 2264876614 Enrollment ID: I20240214000856 |
| Provider Name | Rita Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407271836 PECOS PAC ID: 4183068257 Enrollment ID: I20240216000286 |
| Provider Name | Patricia L Crowder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508464215 PECOS PAC ID: 6002252608 Enrollment ID: I20240306000171 |
| Provider Name | William Cook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366191157 PECOS PAC ID: 9133565757 Enrollment ID: I20240306000767 |
| Provider Name | Vernice I Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568052678 PECOS PAC ID: 9830535467 Enrollment ID: I20240306000940 |
| Provider Name | Teresa G Endsley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619363371 PECOS PAC ID: 2769828300 Enrollment ID: I20240306001218 |
| Provider Name | Karishma Snider |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245991298 PECOS PAC ID: 9234575879 Enrollment ID: I20240306001499 |
| Provider Name | Kelle A Watson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164403085 PECOS PAC ID: 3779929328 Enrollment ID: I20240306001602 |
| Provider Name | Jason N Steele |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417408550 PECOS PAC ID: 0244689818 Enrollment ID: I20240306004495 |
| Provider Name | Jacqueline L Bitanga |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831595842 PECOS PAC ID: 4486090644 Enrollment ID: I20240311000264 |
| Provider Name | David G Flynn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518548817 PECOS PAC ID: 5193161354 Enrollment ID: I20240311000348 |
Hope Counseling And Consultation Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9291 Laurel Grove Rd, Suite 115, Mechanicsville, VA 23116 Phone: 804-317-5902 Fax: 804-509-0104 | |
Not Just Play, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6501 Mechanicsville Tpke Ste G3, Mechanicsville, VA 23111 Phone: 804-305-4621 Fax: 844-658-9554 | |
Nest Life Virginia, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5951 Dugout Ter, Mechanicsville, VA 23111 Phone: 727-201-2389 Fax: 855-224-4326 | |
Sensible Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11025 Greenline Ct, Mechanicsville, VA 23116 Phone: 804-514-8114 | |
Care Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6620 Boundary Run Dr, Mechanicsville, VA 23111 Phone: 804-223-1366 | |
United Family Resources P C Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7516 Right Flank Rd, Suite 220, Mechanicsville, VA 23116 Phone: 804-559-4566 Fax: 804-559-1449 | |
Triple Willow Mental Health Clinic, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7300 Hanover Green Dr Ste 100, Mechanicsville, VA 23111 Phone: 804-781-4418 Fax: 804-212-0981 |