| Sunshine Behavioral Health Center, Llc | |
|
18125 Highway 43 Mount Vernon AL 36560-6415 | |
| (251) 545-6398 | |
| Not Available |
| Full Name | Sunshine Behavioral Health Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 18125 Highway 43, Mount Vernon, Alabama |
| Authorized Official Name and Position | Truly N. Pollard (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2514143599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Behavioral Health Center, Llc 18125 Highway 43 Mount Vernon AL 36560-6415 Ph: (251) 545-6398 | Sunshine Behavioral Health Center, Llc 18125 Highway 43 Mount Vernon AL 36560-6415 Ph: (251) 545-6398 |
| NPI Number | 1952813503 |
|---|---|
| Provider Enumeration Date | 11/03/2017 |
| Last Update Date | 08/03/2021 |
| Certification Date | 07/07/2021 |
| Medicare PECOS PAC ID | 5991106296 |
|---|---|
| Medicare Enrollment ID | O20210624000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952813503 | NPI | - | NPPES |
| 1639224744 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3669 (Alabama) | Primary |
| Provider Name | Kendra L Laconsay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639224744 PECOS PAC ID: 0941366322 Enrollment ID: I20090310000397 |
| Provider Name | Truly N Pollard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255870085 PECOS PAC ID: 7416358718 Enrollment ID: I20240403001173 |