| Informed Counseling, Llc | |
|
12039 Olde South Ln Mc Calla AL 35111-2335 | |
| (205) 213-3409 | |
| Not Available |
| Full Name | Informed Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 12039 Olde South Ln, Mc Calla, Alabama |
| Authorized Official Name and Position | Terri Gregson Spain (OWNER AND THERAPIST) |
| Authorized Official Contact | 2052133409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Informed Counseling, Llc 12039 Olde South Ln Mc Calla AL 35111-2335 Ph: (205) 213-3409 | Informed Counseling, Llc 12039 Olde South Ln Mc Calla AL 35111-2335 Ph: (205) 213-3409 |
| NPI Number | 1427639079 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 04/15/2021 |
| Certification Date | 04/15/2021 |
| Medicare PECOS PAC ID | 1951704089 |
|---|---|
| Medicare Enrollment ID | O20210727000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427639079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Terri G. Spain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235754110 PECOS PAC ID: 2860895992 Enrollment ID: I20210727000781 |
The Village Consultant, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5780 Heritage Park Dr, Mc Calla, AL 35111 Phone: 205-603-1411 |