MEDICARE: MARTHA PILCHER 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
2	101YP2500X	Professional Counselor	LPC05002	AL

General Provider Information

NPI Number	:	1225509367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA PILCHER LPC

Provider Business Mailing Address
First Line	:	1743 PERSIMMON TREE RD
Second Line	:
City	:	VALLEY GRANDE
State	:	AL
Zip	:	36701-3159
Country	:	US
Telephone Number	:	334-327-1489
Fax Number	:

Provider Business Practice Location Address
First Line	:	1743 PERSIMMON TREE RD
Second Line	:
City	:	VALLEY GRANDE
State	:	AL
Zip	:	36701-3159
Country	:	US
Telephone Number	:	334-327-1489
Fax Number	:

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

Provider Enumeration Date	:	12/16/2018
Last Update Date	:	01/12/2024

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Directions to “ MARTHA PILCHER LPC” Practice Location

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