Choices Of Alabama Llc | |
1900 Crestwood Blvd Suite 203 Irondale AL 35210-2034 | |
(205) 639-1334 | |
(205) 575-1613 |
Full Name | Choices Of Alabama Llc |
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Speciality | Clinic/Center |
Location | 1900 Crestwood Blvd, Irondale, Alabama |
Authorized Official Name and Position | Melissa Lee Cover (OWNER/COUNSELOR) |
Authorized Official Contact | 2056391334 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Choices Of Alabama Llc 1900 Crestwood Blvd Suite 203 Irondale AL 35210-2034 Ph: (205) 639-1334 | Choices Of Alabama Llc 1900 Crestwood Blvd Suite 203 Irondale AL 35210-2034 Ph: (205) 639-1334 |
NPI Number | 1972864718 |
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Provider Enumeration Date | 06/07/2012 |
Last Update Date | 05/21/2015 |
Medicare PECOS PAC ID | 7719328269 |
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Medicare Enrollment ID | O20240515000251 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972864718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Melissa Lee Cover |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1164715140 PECOS PAC ID: 5496836322 Enrollment ID: I20240515000301 |
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