Healthcare Provider Details

I. General information

NPI: 1215983986
Provider Name (Legal Business Name): SANDRA LYNN EMBRY ED.D., LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SANDRA LYNN HUNT ED.D., LPC, NCC

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 04/28/2021
Certification Date: 04/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1909 PLEASANT DRIVE
MUSCLE SHOALS AL
35661
US

IV. Provider business mailing address

1909 PLEASANT DRIVE
MUSCLE SHOALS AL
35661
US

V. Phone/Fax

Practice location:
  • Phone: 256-320-7222
  • Fax: 256-320-7222
Mailing address:
  • Phone: 256-320-7222
  • Fax: 256-320-7222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number1240
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1240
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: