Clark Still, LPC | |
101 2nd Ave Se, Cullman, AL 35055-3511 | |
(256) 734-4910 | |
(256) 739-9455 |
Full Name | Clark Still |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 101 2nd Ave Se, Cullman, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255487716 | NPI | - | NPPES |
51513642STI | Other | AL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 1788 (Alabama) | Primary |
Entity Name | Cullman Internal Medicine, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619920519 PECOS PAC ID: 2365354339 Enrollment ID: O20040719000987 |
Mailing Address | Practice Location Address |
---|---|
Clark Still, LPC 503 Clark St Ne, Cullman, AL 35055-1921 Ph: (256) 739-0801 | Clark Still, LPC 101 2nd Ave Se, Cullman, AL 35055-3511 Ph: (256) 734-4910 |
Erin Dover, LICSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1909 Commerce Ave, Cullman, AL 35055 Phone: 256-734-4688 | |
Timothy Brett Hunt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1912 Commerce Avenue Nw, Cullman, AL 35055 Phone: 256-739-5595 Fax: 256-739-5375 | |
Leah Abbott Belser, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 198 Us Highway 278 E, Cullman, AL 35055 Phone: 888-355-7080 Fax: 256-708-8683 | |
Mary Lynn Smith, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1909 Commerce Ave, Cullman, AL 35055 Phone: 256-736-4468 | |
Chanda Dabbs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 198 Us Highway 278 E, Cullman, AL 35055 Phone: 888-355-7080 Fax: 256-615-8632 | |
Christopher Van Dyke, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1909 Commerce Ave, Cullman, AL 35055 Phone: 256-734-4688 Fax: 256-736-5638 | |
Dr. Howard Leon Rodgers, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 126 County Road 1153, Cullman, AL 35057 Phone: 256-737-3087 |