| Timothy Michael Walsh, | |
| 
					6504 Woodlake Village Cir, Midlothian, VA 23112-2200  | |
| (804) 823-5475 | |
| Not Available | 
| Full Name | Timothy Michael Walsh | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 6504 Woodlake Village Cir, Midlothian, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1659940583 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024180507 (Virginia) | Primary | 
| Entity Name | Balance Behavioral Health Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1912338914 PECOS PAC ID: 8022333210 Enrollment ID: O20150210001881  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Timothy Michael Walsh, 3807 Evershot Dr, Midlothian, VA 23112-4495 Ph: (914) 844-4965  | Timothy Michael Walsh, 6504 Woodlake Village Cir, Midlothian, VA 23112-2200 Ph: (804) 823-5475  | 
Jonathan Fielder, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2808 Fox Chase Ln, Midlothian, VA 23112 Phone: 804-303-9622 Fax: 804-716-4318  | |
Rehana Sultana Kazi Glod, MSN, RN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14051 St Francis Blvd, Suite 1400, Midlothian, VA 23114 Phone: 804-325-8851  | |
Ms. Laurie Powell Burke, R.N., N.P., C.S. Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 13506 East Boundary Road, Suite A, Midlothian, VA 23112 Phone: 804-744-6714 Fax: 804-744-1265  | |
Mrs. Amanda Kearse Miller, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1407 Huguenot Rd, Midlothian, VA 23113 Phone: 804-794-2299 Fax: 804-794-5774  | |
Kaitlin J Delgado, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13572 Waterford Place, Midlothian, VA 23112 Phone: 804-560-8782 Fax: 804-525-2525  | |
Ann Madeleine Wilson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5955 Harbour Park Dr, Midlothian, VA 23112 Phone: 804-744-4495  | |
Jennifer Meagan Franks, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 230 Browns Way Rd, Midlothian, VA 23114 Phone: 804-419-9101  |