| Iyh I Llc | |
|
5673 Airport Rd Roanoke VA 24012-1119 | |
| (540) 523-8099 | |
| (540) 400-8808 |
| Full Name | Iyh I Llc |
|---|---|
| Speciality | Counselor |
| Location | 5673 Airport Rd, Roanoke, Virginia |
| Authorized Official Name and Position | Yolanda Winfield (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 8048071201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iyh I Llc 5511 Staples Mill Rd Ste 102 Henrico VA 23228-5445 Ph: (804) 807-1201 | Iyh I Llc 5673 Airport Rd Roanoke VA 24012-1119 Ph: (540) 523-8099 |
| NPI Number | 1609448927 |
|---|---|
| Provider Enumeration Date | 07/15/2021 |
| Last Update Date | 04/01/2025 |
| Certification Date | 03/25/2025 |
| Medicare PECOS PAC ID | 7113313032 |
|---|---|
| Medicare Enrollment ID | O20220401000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609448927 | NPI | - | NPPES |
| Provider Name | James Kp Terry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134777261 PECOS PAC ID: 5092111435 Enrollment ID: I20210909001885 |
| Provider Name | Holly F Hartson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801932900 PECOS PAC ID: 3870989676 Enrollment ID: I20220404002015 |
| Provider Name | Michelle Camardi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003639097 PECOS PAC ID: 7113442815 Enrollment ID: I20250415002770 |
| Provider Name | Brittany Lee Stoner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093398497 PECOS PAC ID: 6305361445 Enrollment ID: I20250422000193 |
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