| Kimyatta Greathouse Fails, LPC,NCC,CAC | |
|
9505 Colleton Pl, Montgomery, AL 36117-8436 | |
| (706) 442-5372 | |
| Not Available |
| Full Name | Kimyatta Greathouse Fails |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 9505 Colleton Pl, Montgomery, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134396278 | NPI | - | NPPES |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimyatta Greathouse Fails, LPC,NCC,CAC 7806 Vaughn Rd, Montgomery, AL 36116-1333 Ph: (334) 413-4055 | Kimyatta Greathouse Fails, LPC,NCC,CAC 9505 Colleton Pl, Montgomery, AL 36117-8436 Ph: (706) 442-5372 |
Annie Adams, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 480 Planters Rd, Montgomery, AL 36109 Phone: 334-356-2154 Fax: 334-356-2154 | |
Consuelo Click, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Cotton Gin Rd, Montgomery, AL 36117 Phone: 334-271-2402 | |
Alisa S Jones, MA, ALC Counselor Medicare: Not Enrolled in Medicare Practice Location: 645 Ponce De Leon Ave, Montgomery, AL 36106 Phone: 334-799-9855 | |
Kendrick Rogers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3151 Knightsbridge Curv, Montgomery, AL 36111 Phone: 864-986-9685 | |
Michael Lee Thornton, MS, EDS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2637 Eastern Blvd, Montgomery, AL 36117 Phone: 334-262-8580 | |
Mrs. Gail Ellerbrake, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4455 Narrow Lane Rd, Montgomery, AL 36116 Phone: 334-288-8890 Fax: 334-288-9322 | |
Mrs. Laurie Lynne Shoemaker, M.S., NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8200 Old Federal Rd, Montgomery, AL 36117 Phone: 334-270-0177 Fax: 334-273-0177 |