| Fredericksburg Area Health And Support Services | |
|
10514 Wakeman Dr Fredericksburg VA 22407-8040 | |
| (540) 907-4555 | |
| (833) 918-2314 |
| Full Name | Fredericksburg Area Health And Support Services |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 10514 Wakeman Dr, Fredericksburg, Virginia |
| Authorized Official Name and Position | Joseph Lyttle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5409074555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fredericksburg Area Health And Support Services 4343 Plank Rd Ste 100 Fredericksburg VA 22407-4807 Ph: (540) 907-4555 | Fredericksburg Area Health And Support Services 10514 Wakeman Dr Fredericksburg VA 22407-8040 Ph: (540) 907-4555 |
| NPI Number | 1104170398 |
|---|---|
| Provider Enumeration Date | 11/09/2012 |
| Last Update Date | 08/30/2022 |
| Certification Date | 08/30/2022 |
| Medicare PECOS PAC ID | 8628495116 |
|---|---|
| Medicare Enrollment ID | O20200828001684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104170398 | NPI | - | NPPES |
| Provider Name | Crystal D Miller Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750634770 PECOS PAC ID: 9830327733 Enrollment ID: I20140123001134 |
| Provider Name | Mara J Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700268745 PECOS PAC ID: 4688956311 Enrollment ID: I20170112003010 |
| Provider Name | Ashley N Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063035632 PECOS PAC ID: 1658785365 Enrollment ID: I20210120002295 |
| Provider Name | Seqouia Pettigrew |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730859869 PECOS PAC ID: 8921543075 Enrollment ID: I20240712001511 |
Allied Psychological Assessment Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 516 Westwood Office Park, Fredericksburg, VA 22401 Phone: 540-681-1669 | |
Brave Companion Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Avocet Way, Fredericksburg, VA 22406 Phone: 540-736-8065 | |
Peak Mental Health Services, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1133 Heatherstone Dr Ste 102, Fredericksburg, VA 22407 Phone: 540-548-2430 Fax: 540-898-2242 | |
Mosaic Child & Family Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 William St Ste B, Fredericksburg, VA 22401 Phone: 804-366-0641 Fax: 804-915-6377 | |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 Lafayette Blvd, Suite 200, Fredericksburg, VA 22401 Phone: 540-372-1438 Fax: 540-372-7071 | |
Mindful Mama, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1406 Franklin St, Fredericksburg, VA 22401 Phone: 703-919-6032 | |
Jonathan Yoder Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4414 Lafayette Blvd Ste 236, Fredericksburg, VA 22408 Phone: 540-418-7966 Fax: 540-779-8028 |