| Alive Mental Health Llc | |
|
109 Tucker St Ste 102 Jackson TN 38301-4092 | |
| (901) 568-7774 | |
| Not Available |
| Full Name | Alive Mental Health Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 109 Tucker St Ste 102, Jackson, Tennessee |
| Authorized Official Name and Position | Sara Williams Labrador (MANAGER) |
| Authorized Official Contact | 9015687774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alive Mental Health Llc 7556 Us Highway 70 Ste 105 Bartlett TN 38133-2686 Ph: (901) 568-7774 | Alive Mental Health Llc 109 Tucker St Ste 102 Jackson TN 38301-4092 Ph: (901) 568-7774 |
| NPI Number | 1013736768 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 11/15/2024 |
| Certification Date | 11/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013736768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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