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NPI Code Detail

MEDICARE: SCHUCK COUNSELING AND CONSULTING LLC

MEDICARE: SCHUCK COUNSELING AND CONSULTING 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 : 1912591934
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCHUCK COUNSELING AND CONSULTING LLC
Provider Business Mailing Address
First Line : 3 OFFICE PARK CIR STE 220
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-2535
Country : US
Telephone Number : 205-210-9096
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 : 205-422-5001
Fax Number :
Authorized Official
Title or Position : OWNER
Name : HEATHER SCHUCK
Credential : LICSW PIP
Telephone Number : 205-422-5001
Provider Enumeration Date : 02/22/2021
Last Update Date : 04/26/2021

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Directions to “SCHUCK COUNSELING AND CONSULTING LLC ” Practice Location

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