Andrea Kaye Sullivan, MS, LPC | |
16 Moulton St E, Decatur, AL 35601-2310 | |
(256) 822-2375 | |
Not Available |
Full Name | Andrea Kaye Sullivan |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 16 Moulton St E, 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 |
---|---|---|---|
1477710291 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 3066 (Alabama) | Primary |
Entity Name | Covenant Counseling & Consulting Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295111557 PECOS PAC ID: 2769789551 Enrollment ID: O20160322001395 |
Mailing Address | Practice Location Address |
---|---|
Andrea Kaye Sullivan, MS, LPC 251 Johnston St Se Ste 100, Decatur, AL 35601-2515 Ph: (256) 822-2375 | Andrea Kaye Sullivan, MS, LPC 16 Moulton St E, Decatur, AL 35601-2310 Ph: (256) 822-2375 |
Amy Hudson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 496 Highway 67 S Ste A, Decatur, AL 35603 Phone: 256-229-3535 | |
Angela Shadden, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1629 4th Ave Se Ste 113, Decatur, AL 35601 Phone: 256-612-7926 | |
Eranika Natasha Bonds, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4110 Us Highway 31 S, Decatur, AL 35603 Phone: 256-260-7360 Fax: 256-350-5664 | |
John Daniel Stark, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4110 Highway 31 South, Decatur, AL 35603 Phone: 256-355-6105 | |
Sandra Louise Locke-godbey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 224 2nd Ave Se, Decatur, AL 35601 Phone: 256-341-0811 | |
Porsha Jackson, ALC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1315 13th Ave Se, Decatur, AL 35601 Phone: 256-260-7306 Fax: 256-355-6092 | |
Nicole Sisson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1608 4th Ave Se, Decatur, AL 35601 Phone: 256-340-9233 |