Enterprise Professional Counseling Associates, Llc | |
930 Private Road 1601 Chancellor AL 36316 | |
(334) 237-3838 | |
(334) 489-4606 |
Full Name | Enterprise Professional Counseling Associates, Llc |
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Speciality | Counselor - Professional |
Location | 930 Private Road 1601, Chancellor, Alabama |
Authorized Official Name and Position | Christopher M. Smith (OWNER) |
Authorized Official Contact | 3342373838 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Enterprise Professional Counseling Associates, Llc 930 Private Road 1601 Chancellor AL 36316 Ph: (334) 237-3838 | Enterprise Professional Counseling Associates, Llc 930 Private Road 1601 Chancellor AL 36316 Ph: (334) 237-3838 |
NPI Number | 1154585396 |
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Provider Enumeration Date | 07/16/2008 |
Last Update Date | 05/23/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154585396 | NPI | - | NPPES |
103562 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |