| Eagle Consulting, Llc | |
|
206 4th Ave Se Decatur AL 35601 | |
| (256) 341-0811 | |
| (256) 341-9358 |
| Full Name | Eagle Consulting, Llc |
|---|---|
| Speciality | Counselor |
| Location | 206 4th Ave Se, Decatur, Alabama |
| Authorized Official Name and Position | Larry Little (CEO) |
| Authorized Official Contact | 2563410811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Consulting, Llc Po Box 988 Decatur AL 35602-0988 Ph: (256) 341-0811 | Eagle Consulting, Llc 206 4th Ave Se Decatur AL 35601 Ph: (256) 341-0811 |
| NPI Number | 1881963221 |
|---|---|
| Provider Enumeration Date | 12/14/2011 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Medicare PECOS PAC ID | 6608108824 |
|---|---|
| Medicare Enrollment ID | O20191021002588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881963221 | NPI | - | NPPES |
| Provider Name | Ruthie L Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336157189 PECOS PAC ID: 4880926096 Enrollment ID: I20191021002172 |
| Provider Name | Brittany Taylor Huey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164074266 PECOS PAC ID: 3375979628 Enrollment ID: I20200204001991 |
| Provider Name | Blake Towe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992170492 PECOS PAC ID: 3476941253 Enrollment ID: I20211027002497 |
| Provider Name | Amanda Rice Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750045076 PECOS PAC ID: 4486043577 Enrollment ID: I20211111000026 |
| Provider Name | Malia Bethellen Shipe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760634679 PECOS PAC ID: 1951741792 Enrollment ID: I20240426002918 |
| Provider Name | Kimberly Lane Allfrey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447404785 PECOS PAC ID: 4789916909 Enrollment ID: I20240606002370 |
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