| Propel Counseling Group, LLC | |
|
160 Courthouse Ln Clintwood VA 24228-7911 | |
| (276) 393-2367 | |
| Not Available |
| Full Name | Propel Counseling Group, LLC |
|---|---|
| Speciality | Counselor |
| Location | 160 Courthouse Ln, Clintwood, Virginia |
| Authorized Official Name and Position | Kimberly Carroll (OWNER) |
| Authorized Official Contact | 2763932367 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Propel Counseling Group, LLC 3855 Dc Caney Ridge Rd Clintwood VA 24228-7861 | Propel Counseling Group, LLC 160 Courthouse Ln Clintwood VA 24228-7911 Ph: (276) 393-2367 |
| NPI Number | 1447866751 |
|---|---|
| Provider Enumeration Date | 09/22/2020 |
| Last Update Date | 09/22/2020 |
| Certification Date | 09/22/2020 |
| Medicare PECOS PAC ID | 6709224710 |
|---|---|
| Medicare Enrollment ID | O20240409003485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447866751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | () | Primary |
| 101YM0800X | Counselor - Mental Health | () | Secondary |
| 101YP2500X | Counselor - Professional | () | Secondary |
| Provider Name | Kristina L Endicott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588337901 PECOS PAC ID: 4082053061 Enrollment ID: I20240424000677 |
| Provider Name | Kimberly D Carroll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225532062 PECOS PAC ID: 0244678258 Enrollment ID: I20240424000892 |
| Provider Name | Kayla N Newsom |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043935828 PECOS PAC ID: 8224478219 Enrollment ID: I20240424001180 |
| Provider Name | Heather L Lynch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083023162 PECOS PAC ID: 9335587344 Enrollment ID: I20240424001473 |
| Provider Name | Brittney D Powers Turner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558833566 PECOS PAC ID: 7416397419 Enrollment ID: I20240424001605 |
| Provider Name | Kitty Lynn Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497636989 PECOS PAC ID: 1456849132 Enrollment ID: I20251023003898 |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1280 Browning Holw, Clintwood, VA 24228 Phone: 276-963-3606 Fax: 276-963-3747 |
Dickenson Community Hospital Psychiatric Unit Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 312 Hospital Dr, Clintwood, VA 24228 Phone: 276-926-0251 Fax: 276-926-0329 |
Dickenson County Behavioral Health Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 440 Fox Town Rd, Clintwood, VA 24228 Phone: 276-926-1682 Fax: 276-926-9179 |
Dickenson County Public Schools Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Volunteer Street, Clintwood, VA 24228 Phone: 276-926-4643 Fax: 276-926-6374 |