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808 Downtowner Loop W Mobile AL 36609-5519 | |
| (251) 341-9504 | |
| (251) 341-9505 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 808 Downtowner Loop W, Mobile, Alabama |
| Authorized Official Name and Position | Jay Higham (CEO) |
| Authorized Official Contact | 2143656112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
5001 Spring Valley Road Suite 600 East Dallas TX 75244 Ph: (214) 365-6100 | 808 Downtowner Loop W Mobile AL 36609-5519 Ph: (251) 341-9504 |
| NPI Number | 1699440149 |
|---|---|
| Provider Enumeration Date | 08/16/2021 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/26/2024 |
| Medicare PECOS PAC ID | 5597178244 |
|---|---|
| Medicare Enrollment ID | O20210119002422 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699440149 | NPI | - | NPPES |
| Provider Name | Gary E Holland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962457077 PECOS PAC ID: 8325935406 Enrollment ID: I20060209000033 |
| Provider Name | Larry Wayne Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770552077 PECOS PAC ID: 8224049267 Enrollment ID: I20060505000465 |
| Provider Name | James F Hooper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912043977 PECOS PAC ID: 2264583103 Enrollment ID: I20090706000390 |
| Provider Name | Olajide M Akinsanya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477695088 PECOS PAC ID: 6507059227 Enrollment ID: I20101026000514 |
| Provider Name | Roy Barco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033436191 PECOS PAC ID: 7517108871 Enrollment ID: I20130729000802 |
| Provider Name | Richard Craig Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235428772 PECOS PAC ID: 4981847886 Enrollment ID: I20130824000194 |
| Provider Name | Dustin Marmalich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093135154 PECOS PAC ID: 2668768417 Enrollment ID: I20160906000648 |
| Provider Name | Michaelyn A Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255807418 PECOS PAC ID: 5799029542 Enrollment ID: I20181204003967 |
| Provider Name | Amy M Gorecki-kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639651300 PECOS PAC ID: 8921345034 Enrollment ID: I20190128003193 |
| Provider Name | James Robert Lepage |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083146922 PECOS PAC ID: 5395003388 Enrollment ID: I20190805001259 |
| Provider Name | Edwin Seelye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902253651 PECOS PAC ID: 6406149657 Enrollment ID: I20200117000782 |
| Provider Name | Lucas Scott Boone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134651102 PECOS PAC ID: 3173881364 Enrollment ID: I20200326002478 |
| Provider Name | Luke Fondren |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255837886 PECOS PAC ID: 7618388869 Enrollment ID: I20201119003033 |
| Provider Name | Sonja Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609836857 PECOS PAC ID: 3870590946 Enrollment ID: I20230612003349 |
| Provider Name | Bianca Crenshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235841198 PECOS PAC ID: 3476917121 Enrollment ID: I20230913002375 |
| Provider Name | Michael Arthur Schwartz |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1548564545 PECOS PAC ID: 3173963113 Enrollment ID: I20240801002479 |
Newlife Counseling Centers Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6001 Grelot Rd, Suite D, Mobile, AL 36609 Phone: 251-343-9411 Fax: 251-343-9412 | |
Aspirations Counseling Services, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Hillcrest Rd Ste 2g, Mobile, AL 36695 Phone: 251-509-5126 | |
Living Authentically Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Bel Air Blvd Ste 304, Mobile, AL 36606 Phone: 251-289-1184 | |
Mke Consulting, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1204 Vendome Dr W, Mobile, AL 36609 Phone: 251-459-4201 | |
Journey Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Hillcrest Rd Ste 2g, Mobile, AL 36695 Phone: 251-751-0133 | |
Morgan Bradwell, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5901 Airport Blvd Ste 100, Mobile, AL 36608 Phone: 334-294-8437 | |
Formwalt And Williams Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7305 Cottage Hill Road, Mobile, AL 36695 Phone: 251-776-1217 Fax: 251-776-1219 |