| Auburn Psychological Wellness Center Llc | |
|
778 N Dean Rd Ste 300 Auburn AL 36830-4315 | |
| (334) 219-0425 | |
| Not Available |
| Full Name | Auburn Psychological Wellness Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 778 N Dean Rd Ste 300, Auburn, Alabama |
| Authorized Official Name and Position | Marilyn A Cornish (CO-OWNER, LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3342190425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Auburn Psychological Wellness Center Llc 778 N Dean Rd Ste 300 Auburn AL 36830-4315 Ph: (334) 219-0425 | Auburn Psychological Wellness Center Llc 778 N Dean Rd Ste 300 Auburn AL 36830-4315 Ph: (334) 219-0425 |
| NPI Number | 1487282620 |
|---|---|
| Provider Enumeration Date | 04/01/2020 |
| Last Update Date | 11/09/2021 |
| Certification Date | 11/09/2021 |
| Medicare PECOS PAC ID | 7214460823 |
|---|---|
| Medicare Enrollment ID | O20241104001476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487282620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Erica Ramey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992121297 PECOS PAC ID: 4082839741 Enrollment ID: I20140714001134 |
| Provider Name | Ann B Madsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245779974 PECOS PAC ID: 5496023806 Enrollment ID: I20170607002047 |
| Provider Name | Brittney Deonte Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649859018 PECOS PAC ID: 5698208213 Enrollment ID: I20241104001945 |
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