Organization
MARSHA MEAD, PHD, LPC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA MEAD PHD (PRESIDENT)
(276) 971-5678
Entity
Organization
Contact information
Practice address
105 WESTWOOD CMN, BLUEFIELD, VA 24605-2031
(276) 971-5678
Mailing address
PO BOX 250, BLUEFIELD, VA 24605-0250
(276) 971-5678
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001654
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032773
BCBS
VA
01
—
083718
SENTARA
VA
01
—
1036619
CAQH
—
01
—
160452
MAGELLAN
VA
01
—
252474
VALUE OPTIONS
NY
Enumeration date
10/12/2007
Last updated
10/12/2007
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