MEDICARE: MRS. SARAH JANEL CHOLEVIK 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	2889	AL

General Provider Information

NPI Number	:	1316249717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH JANEL CHOLEVIK LPC

Provider Business Mailing Address
First Line	:	805 MADISON ST SE STE 2C
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-4424
Country	:	US
Telephone Number	:	256-519-9000
Fax Number	:	256-519-9002

Provider Business Practice Location Address
First Line	:	600 MADISON ST SE
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-4401
Country	:	US
Telephone Number	:	256-507-9727
Fax Number	:

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

Provider Enumeration Date	:	11/17/2010
Last Update Date	:	11/20/2019

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