MEDICARE: LET'S TALK SUPPORT SERVICES, 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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1619757242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LET'S TALK SUPPORT SERVICES, LLC

Provider Business Mailing Address
First Line	:	387 BUSTER RD
Second Line	:
City	:	ASHFORD
State	:	AL
Zip	:	36312-5663
Country	:	US
Telephone Number	:	334-200-3675
Fax Number	:

Provider Business Practice Location Address
First Line	:	285 N FOSTER ST
Second Line	:
City	:	DOTHAN
State	:	AL
Zip	:	36303-4541
Country	:	US
Telephone Number	:	334-471-3441
Fax Number	:	334-746-7573

Authorized Official
Title or Position	:	OWNER - CLINICAL SOCIAL WORKER
Name	:	MICHAEL PORTERFIELD
Credential	:	LICSW
Telephone Number	:	334-587-1923

Provider Enumeration Date	:	10/02/2023
Last Update Date	:	06/19/2025

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