Madison Brawley, MS, NCC,LPC | |
315 E Walnut St, Ellington, MO 63638-7943 | |
(573) 663-2644 | |
Not Available |
Full Name | Madison Brawley |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 315 E Walnut St, Ellington, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063970283 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Family Counseling Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669477550 PECOS PAC ID: 2163410481 Enrollment ID: O20040609001127 |
Entity Name | Ozark Counseling Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164517934 PECOS PAC ID: 8527035724 Enrollment ID: O20040916000377 |
Mailing Address | Practice Location Address |
---|---|
Madison Brawley, MS, NCC,LPC 315 E Walnut St, Ellington, MO 63638-7943 Ph: (573) 663-2644 | Madison Brawley, MS, NCC,LPC 315 E Walnut St, Ellington, MO 63638-7943 Ph: (573) 663-2644 |
Ms. Linda Lee Potter, LPC Counselor Medicare: Medicare Enrolled Practice Location: 125 A Temple St, Ellington, MO 63638 Phone: 573-631-8764 Fax: 573-998-2524 | |
Iris Fae Ross, MA, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 N. Second St., Ellington, MO 63638 Phone: 573-663-2988 Fax: 573-663-3431 |