| Affiliated Mental Health Services | |
|
100 Century Park South Suite 206 Birmingham AL 35226-3922 | |
| (205) 978-7800 | |
| (205) 978-7802 |
| Full Name | Affiliated Mental Health Services |
|---|---|
| Speciality | Counselor |
| Location | 100 Century Park South, Birmingham, Alabama |
| Authorized Official Name and Position | Peggy Holly (MANAGER) |
| Authorized Official Contact | 2059787800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affiliated Mental Health Services 100 Century Park South Suite 206 Birmingham AL 35226-3922 Ph: (205) 978-7800 | Affiliated Mental Health Services 100 Century Park South Suite 206 Birmingham AL 35226-3922 Ph: (205) 978-7800 |
| NPI Number | 1538145743 |
|---|---|
| Provider Enumeration Date | 12/20/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5092763383 |
|---|---|
| Medicare Enrollment ID | O20050104000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538145743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Alabama) | Primary |
| Provider Name | Harry E Logue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861476640 PECOS PAC ID: 8426006727 Enrollment ID: I20050104000212 |
| Provider Name | Gerald K Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447236658 PECOS PAC ID: 4789637489 Enrollment ID: I20050222000838 |
| Provider Name | Patrick C Tapia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942462502 PECOS PAC ID: 9436331618 Enrollment ID: I20110309000352 |
| Provider Name | Barbara Psy. D Nissenbaum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790091254 PECOS PAC ID: 2163692542 Enrollment ID: I20110822000157 |
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