Peaceful Pathways LLC
Organization Active NPI Mental Health Counselor · Madison, AL
NPI 1235868993 · NPPES record last updated Jun 17, 2022
Key facts
- NPI
- 1235868993
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- PEACEFUL PATHWAYS LLC
- Practice address
- 120 W Dublin Dr Ste 202
Madison, AL 35758-3157 - Phone
- (256) 929-5507
- Fax
- (888) 440-7284
- NPI assigned
- Jun 8, 2022
- Organization subpart
- No
Authorized official
- Name
- Ailu Maciel Barrera Hernandez
- Title
- Director of Administrative Operatio
- Phone
- (256) 929-5507
Corporate family (same tax ID) 1
Practitioners 5
-
Mary Amber Ashford Moon, LMSW
-
Adriane Michelle Howard, LICSW
-
Debbie Kay Duquette, LICSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220928002281 | AL | Part B Supplier - Clinic/Group Practice | 6709262702 |
Receives reassigned benefits from 4 practitioners Practice locations: Madison, AL |
National Provider Directory
- Tax ID family
- Adriane M Howard LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
120 W Dublin Dr Ste 202
Madison, AL 35758-3157
Mailing address
120 W Dublin Dr Ste 202
Madison, AL 35758-3157
Phone (256) 929-5507
Other practice location 1
2335 Pansy St SW
Huntsville, AL 35801-3828
Phone (256) 929-5507
Other providers in Madison, AL
- Pathway Healthcare, LLC
- Patrick J Oneill M.D., P.C.
- Carole Patterson
- Michael Patterson
- Allison Payne
- Amber Peacock
- Sarah Pearce
- Pediatric Associates of Madison,PC
- Pediatric Therapy Link of North Alabama, LLC
- Tamara Pellant
All providers in Madison, AL · Mental Health Counselor in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.