Provider Demographics
NPI:1295949485
Name:SALES, ROSLYN (LPC-S)
Entity type:Individual
Prefix:
First Name:ROSLYN
Middle Name:
Last Name:SALES
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 CHESTNUT DR STE C
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-9525
Mailing Address - Country:US
Mailing Address - Phone:615-777-9303
Mailing Address - Fax:855-266-6947
Practice Address - Street 1:165 CHESTNUT DR STE C
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9525
Practice Address - Country:US
Practice Address - Phone:615-777-9303
Practice Address - Fax:855-266-6947
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2024-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health