Choices Family Counseling Services, Llc | |
1318 Commercial St Ne Hanceville AL 35077-5512 | |
(256) 962-5554 | |
(256) 962-5554 |
Full Name | Choices Family Counseling Services, Llc |
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Speciality | Counselor |
Location | 1318 Commercial St Ne, Hanceville, Alabama |
Authorized Official Name and Position | Grace Potter (DIRECTOR/COUNSELOR) |
Authorized Official Contact | 2569625554 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Choices Family Counseling Services, Llc 1318 Commercial St Ne Hanceville AL 35077-5512 Ph: (256) 962-5554 | Choices Family Counseling Services, Llc 1318 Commercial St Ne Hanceville AL 35077-5512 Ph: (256) 962-5554 |
NPI Number | 1104530138 |
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Provider Enumeration Date | 01/13/2023 |
Last Update Date | 03/14/2024 |
Certification Date | 03/14/2024 |
Medicare PECOS PAC ID | 4385080092 |
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Medicare Enrollment ID | O20240315001424 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104530138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Grace Potter |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1154730562 PECOS PAC ID: 5698146116 Enrollment ID: I20240315001528 |
Laurelwood Equine Assisted Discoveries, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 County Road 490, Hanceville, AL 35077 Phone: 256-277-1551 |