Elizabeth Sparks Brewer, M.ED., ALC, NCC
Individual provider Active NPI Counselor · Montgomery, AL
NPI 1760142335 · NPPES record last updated Dec 23, 2021
Key facts
- NPI
- 1760142335
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 1461554
- Practice address
- 600 Interstate Park Dr Ste 603
Montgomery, AL 36109-5423 - Phone
- (334) 356-1304
- Fax
- (334) 356-1426
- NPI assigned
- Dec 23, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3988A | AL | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C3988A | AL | |
| Counselor | 101Y00000X | 1461554 | Yes |
Addresses
Primary practice location
600 Interstate Park Dr Ste 603
Montgomery, AL 36109-5423
Mailing address
PO Box 11087
Montgomery, AL 36111-0087
Phone (334) 481-1599
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.