MEDICARE: SEAL CARES COUNSELING, LLC.

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	251S00000X	Community/Behavioral Health Agency	LPC002775	GA

General Provider Information

NPI Number	:	1720327562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEAL CARES COUNSELING, LLC.

Provider Business Mailing Address
First Line	:	6346 GENE TERRY RD
Second Line	:
City	:	COTTONWOOD
State	:	AL
Zip	:	36320-4253
Country	:	US
Telephone Number	:	334-691-5061
Fax Number	:	334-699-8748

Provider Business Practice Location Address
First Line	:	6346 GENE TERRY RD
Second Line	:
City	:	COTTONWOOD
State	:	AL
Zip	:	36320-4253
Country	:	US
Telephone Number	:	334-691-5061
Fax Number	:	334-699-8748

Authorized Official
Title or Position	:	CEO
Name	:	MS. ROBIN MUSE
Credential	:	ED.S, NCC, LPC
Telephone Number	:	334-691-5061

Provider Enumeration Date	:	02/13/2013
Last Update Date	:	02/13/2013

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