MEDICARE: ROSE HOYER ALC

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	04169	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	04169	OTHER	AL	STATE GOVERNMENT

General Provider Information

NPI Number	:	1902526338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE HOYER ALC

Provider Business Mailing Address
First Line	:	123 BLACKBURN TRCE
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35811-4003
Country	:	US
Telephone Number	:	775-537-5054
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 REGAL DR SW STE D
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-5649
Country	:	US
Telephone Number	:	256-348-0781
Fax Number	:

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

Provider Enumeration Date	:	08/29/2022
Last Update Date	:	08/29/2022

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Directions to “ ROSE HOYER ALC” Practice Location

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