| Peaceful Pathways Llc | |
|
120 W Dublin Dr Ste 202 Madison AL 35758-3157 | |
| (256) 929-5507 | |
| (888) 440-7284 |
| Full Name | Peaceful Pathways Llc |
|---|---|
| Speciality | Counselor |
| Location | 120 W Dublin Dr Ste 202, Madison, Alabama |
| Authorized Official Name and Position | Ailu Maciel Barrera Hernandez (DIRECTOR OF ADMINISTRATIVE OPERATIO) |
| Authorized Official Contact | 2569295507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Pathways Llc 120 W Dublin Dr Ste 202 Madison AL 35758-3157 Ph: (256) 929-5507 | Peaceful Pathways Llc 120 W Dublin Dr Ste 202 Madison AL 35758-3157 Ph: (256) 929-5507 |
| NPI Number | 1235868993 |
|---|---|
| Provider Enumeration Date | 06/08/2022 |
| Last Update Date | 06/17/2022 |
| Certification Date | 06/17/2022 |
| Medicare PECOS PAC ID | 6709262702 |
|---|---|
| Medicare Enrollment ID | O20220928002281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235868993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Adriane Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427503382 PECOS PAC ID: 9537410899 Enrollment ID: I20180925003765 |
| Provider Name | Lakrisha T Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891163390 PECOS PAC ID: 4385011469 Enrollment ID: I20221102001181 |
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