MEDICARE: VENICE R SANDERS

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	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1548117153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VENICE R SANDERS

Provider Business Mailing Address
First Line	:	240 KIRBY LN APT 1328
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35757-6758
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2227 DRAKE AVE SW STE 19
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35805-5146
Country	:	US
Telephone Number	:	256-881-1311
Fax Number	:

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

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “ VENICE R SANDERS ” Practice Location

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