| Brian Patrick Kane Jr, MA, ALC, LPC | |
|
1615 Kathy Ln Sw Ste 102, Decatur, AL 35603-1026 | |
| (256) 701-5651 | |
| (256) 429-9411 |
| Full Name | Brian Patrick Kane Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1615 Kathy Ln Sw Ste 102, Decatur, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497453898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | ALC04412 (Alabama) | Secondary |
| 101YP2500X | Counselor - Professional | 5511 (Alabama) | Primary |
| Entity Name | Integrated Behavioral Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730522699 PECOS PAC ID: 7416194113 Enrollment ID: O20131007001029 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Patrick Kane Jr, MA, ALC, LPC 600 Sun Temple Dr, Madison, AL 35758-8643 Ph: (256) 975-4291 | Brian Patrick Kane Jr, MA, ALC, LPC 1615 Kathy Ln Sw Ste 102, Decatur, AL 35603-1026 Ph: (256) 701-5651 |
Amy Hudson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 496 Highway 67 S Ste A, Decatur, AL 35603 Phone: 256-229-3535 | |
Angela Shadden, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1629 4th Ave Se Ste 113, Decatur, AL 35601 Phone: 256-612-7926 | |
Eranika Natasha Bonds, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4110 Us Highway 31 S, Decatur, AL 35603 Phone: 256-260-7360 Fax: 256-350-5664 | |
John Daniel Stark, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4110 Highway 31 South, Decatur, AL 35603 Phone: 256-355-6105 | |
Sandra Louise Locke-godbey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 224 2nd Ave Se, Decatur, AL 35601 Phone: 256-341-0811 | |
Porsha Jackson, ALC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1315 13th Ave Se, Decatur, AL 35601 Phone: 256-260-7306 Fax: 256-355-6092 | |
Nicole Sisson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1608 4th Ave Se, Decatur, AL 35601 Phone: 256-340-9233 |