| Blackwater Counseling and Wellness | |
|
2900 Old Forest Rd Ste A Lynchburg VA 24501-2335 | |
| (206) 235-0968 | |
| Not Available |
| Full Name | Blackwater Counseling and Wellness |
|---|---|
| Speciality | Counselor |
| Location | 2900 Old Forest Rd Ste A, Lynchburg, Virginia |
| Authorized Official Name and Position | Holly Shumate (OWNER) |
| Authorized Official Contact | 2062350968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackwater Counseling and Wellness 2900 Old Forest Rd Ste A Lynchburg VA 24501-2335 Ph: (434) 316-1826 | Blackwater Counseling and Wellness 2900 Old Forest Rd Ste A Lynchburg VA 24501-2335 Ph: (206) 235-0968 |
| NPI Number | 1487489134 |
|---|---|
| Provider Enumeration Date | 09/03/2024 |
| Last Update Date | 11/25/2024 |
| Certification Date | 11/25/2024 |
| Medicare PECOS PAC ID | 1557884715 |
|---|---|
| Medicare Enrollment ID | O20250327003663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487489134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (NU) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Secondary |
| Provider Name | Julie Rae Haupt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285932673 PECOS PAC ID: 1153853205 Enrollment ID: I20241015001605 |
| Provider Name | Stephanie Lambert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093465437 PECOS PAC ID: 1456874627 Enrollment ID: I20250327003723 |
| Provider Name | Sunday Rae Towles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285266932 PECOS PAC ID: 9931622131 Enrollment ID: I20250328000681 |
| Provider Name | Sally Glowicki |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346463965 PECOS PAC ID: 2163945296 Enrollment ID: I20250331001029 |
| Provider Name | Melissa Rachel Sellers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467821124 PECOS PAC ID: 0840714309 Enrollment ID: I20250407002103 |
| Provider Name | Rachel Faith Stewart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285322651 PECOS PAC ID: 6103332671 Enrollment ID: I20250722001184 |
| Provider Name | Jeremy David Noel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750275319 PECOS PAC ID: 9234636689 Enrollment ID: I20251010000119 |
| Provider Name | Kaitlyn Carlucci |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245024835 PECOS PAC ID: 0042709032 Enrollment ID: I20251030000108 |
| Provider Name | Lynn Bohecker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629284070 PECOS PAC ID: 6002305851 Enrollment ID: I20251030004357 |
Virginia Baptist Hosp Acute Psych Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3300 Rivermont Ave, Lynchburg, VA 24503 Phone: 434-947-3777 Fax: 434-947-4763 |
Taylored Counseling Services LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Laxton Rd Ste 200, Lynchburg, VA 24502 Phone: 434-604-0134 Fax: 434-300-5558 |
Tenacity Counseling and Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Odd Fellows Rd Unit 12134, Lynchburg, VA 24506 Phone: 434-515-0692 |
Hope for Tomorrow Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1621 Enterprise Dr, Lynchburg, VA 24502 Phone: 434-376-2006 Fax: 434-239-4955 |
Wellspring of Hope LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3723 Old Forest Rd, Lynchburg, VA 24501 Phone: 434-439-4822 |
Peachtree Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 798 Leesville Road, Lynchburg, VA 24502 Phone: 434-239-1928 Fax: 434-239-8779 |