| Laurel Custer, | |
|
1634 Slaughter Rd Ste C, Madison, AL 35758-5914 | |
| (256) 822-2375 | |
| (256) 584-2330 |
| Full Name | Laurel Custer |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1634 Slaughter Rd Ste C, Madison, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003588179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Covenant Counseling & Consulting Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295111557 PECOS PAC ID: 2769789551 Enrollment ID: O20160322001395 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Custer, 251 Johnston St Se Ste 100, Decatur, AL 35601-2515 Ph: (256) 822-2375 | Laurel Custer, 1634 Slaughter Rd Ste C, Madison, AL 35758-5914 Ph: (256) 822-2375 |
Debbie Kay Duquette, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 120 W Dublin Dr Ste 202, Madison, AL 35758 Phone: 256-929-5507 Fax: 888-440-7284 | |
April S Motton, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: 256-975-4291 Fax: 256-429-9411 | |
Linda Mcgee Thompson, LCSW-PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 450 Lanier Rd, Madison, AL 35758 Phone: 256-774-4500 Fax: 256-774-4573 | |
Amber Stricklin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: -- | |
Larae A Wade, LICSW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 190 Lime Quarry Rd Suite 107, Madison, AL 35758 Phone: 256-862-3385 | |
Mr. James Franklin Waller, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8075 Madison Blvd, Suite 101, Madison, AL 35758 Phone: 256-772-6220 Fax: 256-460-0030 |