Shelly Mitchell, | |
277 Village Pkwy, Helena, AL 35080-4028 | |
(205) 624-3076 | |
Not Available |
Full Name | Shelly Mitchell |
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Gender | Female |
Speciality | Counselor |
Location | 277 Village Pkwy, Helena, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538759345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 2060 (Alabama) | Primary |
Entity Name | Jay Pesek Counseling Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245690437 PECOS PAC ID: 4082053236 Enrollment ID: O20240419002799 |
Mailing Address | Practice Location Address |
---|---|
Shelly Mitchell, 336 Grey Oaks Dr, Pelham, AL 35124-2493 Ph: (404) 902-9940 | Shelly Mitchell, 277 Village Pkwy, Helena, AL 35080-4028 Ph: (205) 624-3076 |
Daniel Jackson Birdsong, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 277 Village Pkwy, Helena, AL 35080 Phone: 205-624-3076 | |
Ibrahim Isiche Mabwa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 River Crest Cir N, Helena, AL 35080 Phone: 205-862-0205 | |
Amber Lynn Bunch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 Creekside Ct, Helena, AL 35080 Phone: 205-202-9685 | |
Mrs. Samantha Lynn Harbor Willis, M.ED., LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 173 Tucker Road, Suite 202, Helena, AL 35080 Phone: 205-679-0943 Fax: 205-881-3072 | |
Mrs. Jacqueline Moore Devine, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1109 Townhouse Rd, Helena, AL 35080 Phone: 205-200-7137 | |
Steven Leslie Abbott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 265 Village Pkwy, Helena, AL 35080 Phone: 205-624-3076 Fax: 844-835-1972 | |
Jordan Paige Parker, M.ED, ALC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 277 Village Pkwy, Helena, AL 35080 Phone: 205-624-3076 Fax: 844-835-1972 |