Vista Counseling And Consultation Services, Llc | |
7358 Us Highway 231 Wetumpka AL 36092-2053 | |
(334) 245-4080 | |
(334) 269-7826 |
Full Name | Vista Counseling And Consultation Services, Llc |
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Speciality | Community/Behavioral Health |
Location | 7358 Us Highway 231, Wetumpka, Alabama |
Authorized Official Name and Position | Lachandra Brooks-prim (OWNER/THERAPIST) |
Authorized Official Contact | 3342454080 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vista Counseling And Consultation Services, Llc 7358 Us Highway 231 Wetumpka AL 36092-2053 Ph: (334) 245-4080 | Vista Counseling And Consultation Services, Llc 7358 Us Highway 231 Wetumpka AL 36092-2053 Ph: (334) 245-4080 |
NPI Number | 1093343592 |
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Provider Enumeration Date | 03/30/2020 |
Last Update Date | 06/08/2022 |
Certification Date | 06/08/2022 |
Medicare PECOS PAC ID | 6507238623 |
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Medicare Enrollment ID | O20230217000948 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093343592 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Leslie Elizabeth Ledbetter |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326796079 PECOS PAC ID: 2668859414 Enrollment ID: I20220517000122 |
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