| Kimberly Lane Allfrey, LPC | |
|
475 Providence Main St Nw Ste 401, Huntsville, AL 35806-4818 | |
| (256) 716-0811 | |
| (256) 341-9358 |
| Full Name | Kimberly Lane Allfrey |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 475 Providence Main St Nw Ste 401, 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 |
|---|---|---|---|
| 1447404785 | NPI | - | NPPES |
| 654579 | Other | AL | VALUE OPTIONS |
| 600561463 | Other | AL | MAGELLAN |
| 51139744 | Other | AL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2436 (Alabama) | Primary |
| Entity Name | Eagle Consulting, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881963221 PECOS PAC ID: 6608108824 Enrollment ID: O20191021002588 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Lane Allfrey, LPC Po Box 988, Decatur, AL 35602-0988 Ph: (256) 341-0811 | Kimberly Lane Allfrey, LPC 475 Providence Main St Nw Ste 401, Huntsville, AL 35806-4818 Ph: (256) 716-0811 |
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 |