| Pike Road Counseling, Llc | |
|
10519 Vaughn Rd Pike Road AL 36064-2700 | |
| (334) 603-1427 | |
| Not Available |
| Full Name | Pike Road Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10519 Vaughn Rd, Pike Road, Alabama |
| Authorized Official Name and Position | Melinda Landrum (OWNER/COUNSELOR) |
| Authorized Official Contact | 3346031427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pike Road Counseling, Llc 10519 Vaughn Rd Pike Road AL 36064-2700 Ph: () - | Pike Road Counseling, Llc 10519 Vaughn Rd Pike Road AL 36064-2700 Ph: (334) 603-1427 |
| NPI Number | 1437681814 |
|---|---|
| Provider Enumeration Date | 04/03/2017 |
| Last Update Date | 02/23/2024 |
| Certification Date | 01/31/2024 |
| Medicare PECOS PAC ID | 3476998329 |
|---|---|
| Medicare Enrollment ID | O20240301000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437681814 | NPI | - | NPPES |
| Provider Name | Melinda J Landrum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710420351 PECOS PAC ID: 5294170148 Enrollment ID: I20240301000028 |
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