| Elite Counseling Center Llc | |
|
200 Chase Park S Ste 102 Hoover AL 35244-1884 | |
| (205) 994-7019 | |
| Not Available |
| Full Name | Elite Counseling Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 200 Chase Park S Ste 102, Hoover, Alabama |
| Authorized Official Name and Position | Quachetta Jones (OWNER) |
| Authorized Official Contact | 2059947019 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Counseling Center Llc 200 Chase Park S Ste 102 Hoover AL 35244-1884 Ph: (205) 994-7019 | Elite Counseling Center Llc 200 Chase Park S Ste 102 Hoover AL 35244-1884 Ph: (205) 994-7019 |
| NPI Number | 1174134738 |
|---|---|
| Provider Enumeration Date | 08/16/2020 |
| Last Update Date | 08/16/2020 |
| Certification Date | 08/16/2020 |
| Medicare PECOS PAC ID | 1456778521 |
|---|---|
| Medicare Enrollment ID | O20200903001878 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174134738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Emily A Hutto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528293743 PECOS PAC ID: 5698916948 Enrollment ID: I20130729000683 |
| Provider Name | Quachetta Lashae Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972089712 PECOS PAC ID: 2668701244 Enrollment ID: I20190906001626 |
| Provider Name | Ciara O'megan Burrows |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689165771 PECOS PAC ID: 2961880760 Enrollment ID: I20220607002584 |
| Provider Name | Tangie Mccray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518608363 PECOS PAC ID: 9335511989 Enrollment ID: I20230208002760 |
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