Mrs Lisa Shea Miller, | |
1501 Decatur Hwy Ste 101, Gardendale, AL 35071-3857 | |
(205) 644-1166 | |
(800) 514-9302 |
Full Name | Mrs Lisa Shea Miller |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1501 Decatur Hwy Ste 101, Gardendale, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356816888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3094 (Alabama) | Primary |
Entity Name | Integrative Health Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417355504 PECOS PAC ID: 0648503615 Enrollment ID: O20190605003133 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lisa Shea Miller, 4741 Gardenia Trce, Mount Olive, AL 35117-3461 Ph: (205) 602-9335 | Mrs Lisa Shea Miller, 1501 Decatur Hwy Ste 101, Gardendale, AL 35071-3857 Ph: (205) 644-1166 |
Lavelle Tyson, MAMFT, ED.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2603 Decatur Hwy Ste 201, Gardendale, AL 35071 Phone: 205-374-8904 | |
Jennifer Garrison, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Decatur Hwy, Gardendale, AL 35071 Phone: 205-644-1166 | |
Phillip Terrell Williams, LPC Counselor Medicare: Medicare Enrolled Practice Location: 214 Benson Rd, Gardendale, AL 35071 Phone: 205-903-6719 | |
Shamichael Malakeia Shanelle Kittler, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1501 Decatur Hwy, Gardendale, AL 35071 Phone: 205-644-1166 | |
Danielle Austin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Main St Ste 101, Gardendale, AL 35071 Phone: 205-607-2331 | |
Gerald W Franks, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2603 Decatur Hwy, #204, Gardendale, AL 35071 Phone: 205-317-4217 Fax: 205-289-4511 |