Matthew Shipp, | |
501 Greenhill Blvd Nw Ste 15, Fort Payne, AL 35967-8502 | |
(256) 410-2750 | |
Not Available |
Full Name | Matthew Shipp |
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Gender | Male |
Speciality | Counselor |
Location | 501 Greenhill Blvd Nw Ste 15, Fort Payne, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023630795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | C3494A (Alabama) | Primary |
Entity Name | Integrated Behavioral Health, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730522699 PECOS PAC ID: 7416194113 Enrollment ID: O20131007001029 |
Mailing Address | Practice Location Address |
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Matthew Shipp, 501 Greenhill Blvd Nw Ste 15, Fort Payne, AL 35967-8502 Ph: () - | Matthew Shipp, 501 Greenhill Blvd Nw Ste 15, Fort Payne, AL 35967-8502 Ph: (256) 410-2750 |
Ms. Brooke Allison Bowen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 14th St Nw, Fort Payne, AL 35967 Phone: 256-845-4571 Fax: 256-845-4582 | |
Ida Rose Wadsworth, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 4th St Sw, Fort Payne, AL 35967 Phone: 256-304-5755 | |
Sharon Bryant, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Alabama Ave Sw, Fort Payne, AL 35967 Phone: 256-979-1777 | |
Mr. Jack Weaver Jr., ALC Counselor Medicare: Not Enrolled in Medicare Practice Location: 521 Gault Ave N, Fort Payne, AL 35967 Phone: 256-273-7216 | |
Jessica Marie Guinn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Alabama Ave Sw, Fort Payne, AL 35967 Phone: 256-979-1777 | |
Ms. Emily Shirey Mullen, ALC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2101 Owen Dr Ne, Fort Payne, AL 35967 Phone: 256-630-5050 |