Mr Timothy D Deloach, LPC-S | |
22765 Us Highway 98, Fairhope, AL 36532-3499 | |
(251) 473-3410 | |
(251) 476-4454 |
Full Name | Mr Timothy D Deloach |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 22765 Us Highway 98, Fairhope, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689019366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC02224 (Alabama) | Secondary |
101YP2500X | Counselor - Professional | 2224 (Alabama) | Primary |
Entity Name | Collins Counseling & Associates, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043689284 PECOS PAC ID: 8325437858 Enrollment ID: O20211122002574 |
Mailing Address | Practice Location Address |
---|---|
Mr Timothy D Deloach, LPC-S 1340 Sledge Dr Ste B, Mobile, AL 36606-3000 Ph: (251) 473-3410 | Mr Timothy D Deloach, LPC-S 22765 Us Highway 98, Fairhope, AL 36532-3499 Ph: (251) 473-3410 |
Charlene Rae Wigington, MS, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 372 South Greeno Rd., Fairhope, AL 36532 Phone: 251-928-2871 | |
William Bruce Hill, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 Song Grove Blvd, Fairhope, AL 36532 Phone: 205-616-0552 | |
Ms. Kelly Anne Chism, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 372 South Greeno Road, Fairhope, AL 36532 Phone: 251-928-2871 | |
John King, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 362 S Section St, Fairhope, AL 36532 Phone: 262-527-0352 | |
Fani Chifchieva, Counselor Medicare: Not Enrolled in Medicare Practice Location: 372 Greeno Rd S, Fairhope, AL 36532 Phone: 251-990-4248 | |
Kate G Rawson, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 372 Greeno Rd S, Fairhope, AL 36532 Phone: 251-990-4210 Fax: 251-928-0126 | |
Carolyn Dale Presley, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 761b Middle St, Fairhope, AL 36532 Phone: 251-928-4750 Fax: 251-990-2560 |