| Barbara Wallace, LICSW | |
|
415 Church St Nw Ste 10, Huntsville, AL 35801-5573 | |
| (256) 536-4700 | |
| Not Available |
| Full Name | Barbara Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 415 Church St Nw Ste 10, Huntsville, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164287793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LICSW5597C (Alabama) | Primary |
| Entity Name | Wellstone, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407809213 PECOS PAC ID: 9739070046 Enrollment ID: O20040324000453 |
| Entity Name | Aids Action Coalition Of Huntsville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770635633 PECOS PAC ID: 9032167069 Enrollment ID: O20050106000612 |
| Mailing Address | Practice Location Address |
|---|---|
| Barbara Wallace, LICSW Po Box 2409, Huntsville, AL 35804-2409 Ph: (256) 536-4700 | Barbara Wallace, LICSW 415 Church St Nw Ste 10, Huntsville, AL 35801-5573 Ph: (256) 536-4700 |
Aleisha Boodoian Chaffin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 Bob Wallace Avenue, Huntsville, AL 35801 Phone: 256-808-2522 Fax: 256-808-2523 | |
Jennifer Jo Taylor, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Russell St Ne Fl 2, Huntsville, AL 35801 Phone: 256-651-2413 Fax: 887-228-0054 | |
Dr. Lanecha R Conner, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3408 Wall Triana Hwy Unit 6527, Huntsville, AL 35813 Phone: 702-803-2463 | |
Shawn Eric Swafford, ALC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4820 University Dr Nw, Huntsville, AL 35816 Phone: 256-850-4091 | |
Hunter Edmonds, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4820 University Dr Nw Ste 12, Huntsville, AL 35816 Phone: 256-506-2428 | |
Alyssa Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 W Park Loop Nw Ste 101, Huntsville, AL 35806 Phone: 256-239-5662 | |
Ms. Genevieve Wiggins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 Davis Cir Sw, Huntsville, AL 35801 Phone: 256-587-8664 |