| Sandra Bruno, | |
|
102 Wesly Clark Blvd, Madison, AL 35756-4028 | |
| (256) 658-6642 | |
| Not Available |
| Full Name | Sandra Bruno |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 102 Wesly Clark Blvd, Madison, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811522253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | AADC169 (Alabama) | Secondary |
| 106H00000X | Marriage & Family Therapist | L450 (Alabama) | Primary |
| Entity Name | Still Waters Counseling Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003563917 PECOS PAC ID: 9436517836 Enrollment ID: O20230616000580 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Bruno, 102 Wesly Clark Blvd, Madison, AL 35756-4028 Ph: () - | Sandra Bruno, 102 Wesly Clark Blvd, Madison, AL 35756-4028 Ph: (256) 658-6642 |
Rhonda Marie Stalb, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 650 Sun Temple Dr Ste 101, Madison, AL 35758 Phone: 256-631-6303 | |
Kristin Stark, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 650 Sun Temple Dr, Madison, AL 35758 Phone: 618-443-7482 | |
Mrs. Hannah Grace Ruggles, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 290 Pinehurst Dr, Madison, AL 35758 Phone: 256-202-3890 | |
Nicole Perkins, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 13230 Golden Hay Cir, Madison, AL 35756 Phone: 504-616-2516 | |
Amanda W. Ragland, D.MIN. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4257 Sullivan St, Madison, AL 35758 Phone: 256-461-8580 Fax: 256-772-9732 | |
James M Norris, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4257 Sullivan St, Madison, AL 35758 Phone: 256-461-8580 | |
Amanda Michelle King, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 100 Essex Ct Ste A, Madison, AL 35758 Phone: 256-533-9393 |