| Behavioral & Substance Abuse Counseling Llc | |
|
165 Chestnut Dr Ste C Madison AL 35758-9525 | |
| (615) 777-9303 | |
| (855) 266-6947 |
| Full Name | Behavioral & Substance Abuse Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 165 Chestnut Dr Ste C, Madison, Alabama |
| Authorized Official Name and Position | Roslyn Olivia Sales (COUNSELOR) |
| Authorized Official Contact | 6157779315 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral & Substance Abuse Counseling Llc 165 Chestnut Dr Ste C Madison AL 35758-9525 Ph: (615) 777-9303 | Behavioral & Substance Abuse Counseling Llc 165 Chestnut Dr Ste C Madison AL 35758-9525 Ph: (615) 777-9303 |
| NPI Number | 1609389824 |
|---|---|
| Provider Enumeration Date | 11/09/2017 |
| Last Update Date | 01/28/2024 |
| Certification Date | 01/28/2024 |
| Medicare PECOS PAC ID | 9032568530 |
|---|---|
| Medicare Enrollment ID | O20240110002935 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609389824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2741 (Alabama) | Primary |
| Provider Name | Roslyn Sales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295949485 PECOS PAC ID: 0941659445 Enrollment ID: I20240110003082 |
| Provider Name | Johnson Kofi Kofi Prah Arloo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619644812 PECOS PAC ID: 6608227020 Enrollment ID: I20240110003377 |
| Provider Name | Teasia Mason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225609738 PECOS PAC ID: 8325490089 Enrollment ID: I20240118000154 |
| Provider Name | Unity Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831897750 PECOS PAC ID: 3870933872 Enrollment ID: I20240424001624 |
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