| Abiding Place Counseling Center Llc | |
|
105 Vulcan Rd Ste 300 Homewood AL 35209-4701 | |
| (205) 410-9436 | |
| (888) 212-0844 |
| Full Name | Abiding Place Counseling Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 105 Vulcan Rd Ste 300, Homewood, Alabama |
| Authorized Official Name and Position | Donna Scurlark Sargent (OWNER THERAPIST) |
| Authorized Official Contact | 2054109436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abiding Place Counseling Center Llc Po Box 2463 Birmingham AL 35201-2463 Ph: (205) 410-9436 | Abiding Place Counseling Center Llc 105 Vulcan Rd Ste 300 Homewood AL 35209-4701 Ph: (205) 410-9436 |
| NPI Number | 1477764488 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 12/24/2023 |
| Certification Date | 12/24/2023 |
| Medicare PECOS PAC ID | 0143665943 |
|---|---|
| Medicare Enrollment ID | O20240304000447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477764488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2117 (Alabama) | Primary |
| Provider Name | Donna Scurlark Sargent |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770751919 PECOS PAC ID: 8921443722 Enrollment ID: I20240304000833 |
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