MEDICARE: SRG 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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1942874987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SRG COUNSELING, LLC

Provider Business Mailing Address
First Line	:	308 SHELBY FOREST DR
Second Line	:
City	:	CHELSEA
State	:	AL
Zip	:	35043-5519
Country	:	US
Telephone Number	:	205-677-8360
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 EAGLE POINT DRIVE
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-3524
Country	:	US
Telephone Number	:	205-677-8360
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PROFESSIONAL COUNSELOR
Name	:	MRS. GWENDOLYN SUZANNE RICH GOODWIN
Credential	:	M.ED, LPC
Telephone Number	:	205-677-8360

Provider Enumeration Date	:	05/14/2021
Last Update Date	:	05/14/2021

Similar Medicare Providers

1316511744 — JARED HARGETT CRNA
Practice Location Address:

3104 BLUE LAKE DRIVE, SUITE 110
BIRMINGHAM, AL
35243-3524

Practice Phone: 205-977-1949
Practice Fax:

1558934976 — RHL COUNSELING & CONSULTING SERVICES LLC
Practice Location Address:

RHL COUNSELING & CONSULTING SERVICES, LLC , 1 CHASE CORPORATE CENTER, SUITE #400
BIRMINGHAM, AL
35244-3524

Practice Phone: 205-791-5733
Practice Fax: 205-358-0034

1033500335 — CROSSROADS COUNSELING SERVICES LLC
Practice Location Address:

4887 VALLEYDALE RD
BIRMINGHAM, AL
35242-4612

Practice Phone: 205-995-9673
Practice Fax:

1003768540 — JAMYA CRAYTON
Practice Location Address:

151 NARROWS PKWY STE E
BIRMINGHAM, AL
35242-8638

Practice Phone: 615-208-7855
Practice Fax:

1225980584 — PROHEALTH HOSPICE-FLORIDA, LLC
Practice Location Address:

1800 CORPORATE DR
BIRMINGHAM, AL
35242-2725

Practice Phone: 205-820-7000
Practice Fax: 205-383-3557

1770326175 — AMANDA WILSON ALC, MFT-A, NCC
Practice Location Address:

1401 PROVIDENCE PARK STE 250
BIRMINGHAM, AL
35242-4787

Practice Phone: 205-440-1088
Practice Fax:

Directions to “SRG COUNSELING, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.