| Yellow Brick Road Counseling, Llc | |
|
198 Us Highway 278 E Cullman AL 35055-0690 | |
| (888) 355-7080 | |
| (256) 615-8632 |
| Full Name | Yellow Brick Road Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 198 Us Highway 278 E, Cullman, Alabama |
| Authorized Official Name and Position | Sarah Brickell (OWNER/COUNSELOR) |
| Authorized Official Contact | 8883557080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yellow Brick Road Counseling, Llc Po Box 1324 Cullman AL 35056-1324 Ph: (800) 355-7080 | Yellow Brick Road Counseling, Llc 198 Us Highway 278 E Cullman AL 35055-0690 Ph: (888) 355-7080 |
| NPI Number | 1750863460 |
|---|---|
| Provider Enumeration Date | 08/30/2018 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Medicare PECOS PAC ID | 1052751336 |
|---|---|
| Medicare Enrollment ID | O20240503000926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750863460 | NPI | - | NPPES |
| 14268521 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C2505A (Alabama) | Primary |
| Provider Name | Mandy S Laney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154729085 PECOS PAC ID: 6103144209 Enrollment ID: I20150422001194 |
| Provider Name | Sarah Brickell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235511502 PECOS PAC ID: 3870933153 Enrollment ID: I20240506001745 |
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