| Sanctuary Counseling Llc | |
|
1450 Ross Clark Cir Dothan AL 36301-4765 | |
| (334) 794-2113 | |
| Not Available |
| Full Name | Sanctuary Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1450 Ross Clark Cir, Dothan, Alabama |
| Authorized Official Name and Position | Tori San Inocencio (COUNSELOR) |
| Authorized Official Contact | 3344491547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanctuary Counseling Llc 304 Riverwood Dr Enterprise AL 36330-8579 Ph: (334) 449-1547 | Sanctuary Counseling Llc 1450 Ross Clark Cir Dothan AL 36301-4765 Ph: (334) 794-2113 |
| NPI Number | 1003566829 |
|---|---|
| Provider Enumeration Date | 03/25/2022 |
| Last Update Date | 03/25/2022 |
| Certification Date | 03/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003566829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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