Melinda Landrum, | |
10519 Vaughn Rd, Pike Road, AL 36064-2700 | |
(334) 603-1427 | |
Not Available |
Full Name | Melinda Landrum |
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Gender | Female |
Speciality | Counselor |
Location | 10519 Vaughn Rd, Pike Road, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710420351 | NPI | - | NPPES |
814527338 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | C2642A (Alabama) | Secondary |
101Y00000X | Counselor | 3703 (Alabama) | Primary |
Entity Name | Pike Road Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437681814 PECOS PAC ID: 3476998329 Enrollment ID: O20240301000017 |
Mailing Address | Practice Location Address |
---|---|
Melinda Landrum, 10519 Vaughn Rd, Pike Road, AL 36064-2700 Ph: (334) 603-1427 | Melinda Landrum, 10519 Vaughn Rd, Pike Road, AL 36064-2700 Ph: (334) 603-1427 |
Rebecca Tiller Harrison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9427 Vaughn Rd, Pike Road, AL 36064 Phone: 334-603-1427 | |
Ms. Kathy Willcutt Bonds, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 514 Bridlebrook Ct, Pike Road, AL 36064 Phone: 334-467-7989 | |
Kianna Lashay Mcintosh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Stone Park Blvd Apt 412, Pike Road, AL 36064 Phone: 256-951-0555 | |
Shirley Ann Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 Saint James Ct, Pike Road, AL 36064 Phone: 334-669-5872 | |
Dr. Jeanell Jones Norvell, PH. D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1196 Meriwether Rd, Pike Road, AL 36064 Phone: 334-717-8189 | |
Craig Lopas Bynum, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 788 Farmington Ln, Pike Road, AL 36064 Phone: 334-669-2696 |