| Summerlane Counseling Llc | |
|
964 Excelsior Dr Montgomery AL 36117-4514 | |
| (334) 413-2235 | |
| Not Available |
| Full Name | Summerlane Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 964 Excelsior Dr, Montgomery, Alabama |
| Authorized Official Name and Position | Memendra Harris (MANAGING DIRECTOR) |
| Authorized Official Contact | 3344132235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summerlane Counseling Llc 4171 Lomac St. Ste F #1127 Montgomery AL 36106-2945 Ph: (334) 413-2235 | Summerlane Counseling Llc 964 Excelsior Dr Montgomery AL 36117-4514 Ph: (334) 413-2235 |
| NPI Number | 1679285365 |
|---|---|
| Provider Enumeration Date | 12/14/2022 |
| Last Update Date | 12/15/2022 |
| Certification Date | 12/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679285365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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