MEDICARE: MR. PATRICK POUNDS LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	4246	AL

General Provider Information

NPI Number	:	1710160395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PATRICK POUNDS LPC

Provider Business Mailing Address
First Line	:	600 SUN TEMPLE DR
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35758-8643
Country	:	US
Telephone Number	:	256-975-4291
Fax Number	:	256-325-1890

Provider Business Practice Location Address
First Line	:	350 SUN TEMPLE DR
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35758-5919
Country	:	US
Telephone Number	:	256-701-5651
Fax Number	:	256-429-9411

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2007
Last Update Date	:	12/17/2024

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