| Enterprise Professional Counseling Associates, Llc | |
|
930 Private Road 1601 Chancellor AL 36316 | |
| (334) 237-3838 | |
| (334) 489-4606 |
| Full Name | Enterprise Professional Counseling Associates, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 930 Private Road 1601, Chancellor, Alabama |
| Authorized Official Name and Position | Christopher M. Smith (OWNER) |
| Authorized Official Contact | 3342373838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enterprise Professional Counseling Associates, Llc 930 Private Road 1601 Chancellor AL 36316 Ph: (334) 237-3838 | Enterprise Professional Counseling Associates, Llc 930 Private Road 1601 Chancellor AL 36316 Ph: (334) 237-3838 |
| NPI Number | 1154585396 |
|---|---|
| Provider Enumeration Date | 07/16/2008 |
| Last Update Date | 05/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154585396 | NPI | - | NPPES |
| 103562 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |