MEDICARE: ADVOCATE COUNSELING ALABAMA 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	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1881539518
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVOCATE COUNSELING ALABAMA LLC

Provider Business Mailing Address
First Line	:	212 W TROY ST STE B
Second Line	:
City	:	DOTHAN
State	:	AL
Zip	:	36303-4455
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 VESTAVIA PKWY STE 406
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35216-3763
Country	:	US
Telephone Number	:	205-340-8565
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KATHERINE SIDES BEAUGEZ
Credential	:
Telephone Number	:	205-340-8565

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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