Dr Maxine Williford Fuller, MA, LPC, EDD | |
137 Cahaba River Parc, Birmingham, AL 35243-3250 | |
(205) 914-7174 | |
Not Available |
Full Name | Dr Maxine Williford Fuller |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 137 Cahaba River Parc, Birmingham, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932555711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701012155 (Virginia) | Secondary |
101YP2500X | Counselor - Professional | 2703 (Alabama) | Primary |
Entity Name | Insight Therapeutic Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134669922 PECOS PAC ID: 4486923729 Enrollment ID: O20170630000271 |
Entity Name | Premier Mental Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043766009 PECOS PAC ID: 8123467610 Enrollment ID: O20240417000411 |
Mailing Address | Practice Location Address |
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Dr Maxine Williford Fuller, MA, LPC, EDD 137 Cahaba River Parc, Birmingham, AL 35243-3250 Ph: (205) 914-7174 | Dr Maxine Williford Fuller, MA, LPC, EDD 137 Cahaba River Parc, Birmingham, AL 35243-3250 Ph: (205) 914-7174 |
Caroline W West, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Vestavia Pkwy, Suite 250, Birmingham, AL 35216 Phone: 205-824-0011 | |
Monique S Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 20th St S, Birmingham, AL 35205 Phone: 205-510-2600 Fax: 205-510-2790 | |
Ms. Laura Michelle Angers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 20th St S, Birmingham, AL 35205 Phone: 205-510-2761 Fax: 205-510-2790 | |
Paige Monique Reynolds, ALC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 181 W Valley Ave # 157, Birmingham, AL 35209 Phone: 205-675-6592 Fax: 205-278-5526 | |
Ms. Jasmine Boykin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 6th Ave S, Birmingham, AL 35233 Phone: 205-529-7583 | |
Taylor Gibson, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3504 7th Ave S, Birmingham, AL 35222 Phone: 205-918-6860 | |
Jared Thayer Montague, ALC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1117 22nd St S Ste 208, Birmingham, AL 35205 Phone: 205-319-6222 |