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NPI Code Detail

MEDICARE: YEAGER COUNSELING, LLC

MEDICARE: YEAGER COUNSELING, 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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1740890235
Entity Type Code : Organization
Provider Name (Legal Business Name) : YEAGER COUNSELING, LLC
Provider Business Mailing Address
First Line : 1134 ALFORD AVE
Second Line :
City : HOOVER
State : AL
Zip : 35226-1912
Country : US
Telephone Number : 256-541-2511
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 : 205-419-6195
Fax Number :
Authorized Official
Title or Position : OWNER/ THERAPIST
Name : ASHLEY YEAGER
Credential : LICSW, PIP
Telephone Number : 205-419-6195
Provider Enumeration Date : 08/09/2020
Last Update Date : 08/09/2020

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