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NPI Code Detail

MEDICARE: SARAH BALL COUNSELING & CONSULTING LLC

MEDICARE: SARAH BALL COUNSELING & CONSULTING 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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1104435593
Entity Type Code : Organization
Provider Name (Legal Business Name) : SARAH BALL COUNSELING & CONSULTING LLC
Provider Business Mailing Address
First Line : 3 OFFICE PARK CIR STE 220
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-2535
Country : US
Telephone Number : 205-994-4683
Fax Number :
Provider Business Practice Location Address
First Line : 3 OFFICE PARK CIR STE 220
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-2535
Country : US
Telephone Number : 205-994-4683
Fax Number :
Authorized Official
Title or Position : THERAPIST
Name : MRS. SARAH ELIZABETH BALL
Credential : LICSW, PIP
Telephone Number : 205-994-4683
Provider Enumeration Date : 07/30/2020
Last Update Date : 08/13/2020

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Directions to “SARAH BALL COUNSELING & CONSULTING LLC ” Practice Location

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