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 |
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Provider Enumeration Date | 08/30/2018 |
Last Update Date | 07/15/2024 |
Certification Date | 07/15/2024 |
Medicare PECOS PAC ID | 1052751336 |
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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 |
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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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