| Vanessa German Graves Counseling & Consultation Services, Llc | |
|
521 Energy Center Blvd Ste 1506 Northport AL 35473 | |
| (205) 737-7678 | |
| (205) 737-7681 |
| Full Name | Vanessa German Graves Counseling & Consultation Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 521 Energy Center Blvd Ste 1506, Northport, Alabama |
| Authorized Official Name and Position | Vanessa German Graves (INDIVIDUAL PRACTATIONER) |
| Authorized Official Contact | 2057377678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanessa German Graves Counseling & Consultation Services, Llc 521 Energy Center Blvd Ste 1506 Northport AL 35473-5833 Ph: (205) 737-7678 | Vanessa German Graves Counseling & Consultation Services, Llc 521 Energy Center Blvd Ste 1506 Northport AL 35473 Ph: (205) 737-7678 |
| NPI Number | 1396221503 |
|---|---|
| Provider Enumeration Date | 07/11/2018 |
| Last Update Date | 08/20/2023 |
| Certification Date | 08/20/2023 |
| Medicare PECOS PAC ID | 0446610430 |
|---|---|
| Medicare Enrollment ID | O20230724000150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396221503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0996C (Alabama) | Primary |
| Provider Name | Vanessa G Graves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134619059 PECOS PAC ID: 8628304672 Enrollment ID: I20230426000838 |
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