Mr Sandy Ray Johnson, LCSW | |
4110 Highway 31 South, Decatur, AL 35601 | |
(256) 355-6105 | |
Not Available |
Full Name | Mr Sandy Ray Johnson |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 4110 Highway 31 South, Decatur, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730254590 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0862C (Alabama) | Primary |
Entity Name | Luminous Counseling & Consulting Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811374507 PECOS PAC ID: 0840601290 Enrollment ID: O20201116002840 |
Mailing Address | Practice Location Address |
---|---|
Mr Sandy Ray Johnson, LCSW 1316 Somerville Rd Se, Suite 1, Decatur, AL 35601-4305 Ph: () - | Mr Sandy Ray Johnson, LCSW 4110 Highway 31 South, Decatur, AL 35601 Ph: (256) 355-6105 |
Keri Jane Sebesta, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Mental Health Center Of North Central Al Inc., 4110 Us Highway 31 S, Decatur, AL 35603 Phone: 256-260-7360 Fax: 256-355-6092 | |
Candace E Guthery, LICSW, PIP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 16 Moulton St E, Decatur, AL 35601 Phone: 256-822-2375 | |
Mrs. Whitney Anne Parr, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Church St Ne Ste 6, Decatur, AL 35601 Phone: 256-274-8222 | |
Nancy M Reale, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4110 Us Highway 31 S, Decatur, AL 35603 Phone: 256-355-6105 | |
Ms. Lisa S Coleman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4110 Highway 31 South, Decatur, AL 35601 Phone: 256-355-6105 | |
Angela Mcclintock, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Church St Ne Ste 9, Decatur, AL 35601 Phone: 256-274-8222 | |
Cathy Annette George, MS Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4110 Highway 31 South, Decatur, AL 35603 Phone: 256-355-6105 |