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5089 Mount Ida Rd Luverne AL 36049-4115 | |
(443) 987-6404 | |
(443) 914-2107 |
Full Name | |
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Speciality | Counselor - Mental Health |
Location | 5089 Mount Ida Rd, Luverne, Alabama |
Authorized Official Name and Position | Elizabeth Clemons (OWNER/ PSYCHOTHERAPIST) |
Authorized Official Contact | 4439876404 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5089 Mount Ida Rd Luverne AL 36049-4115 Ph: (443) 987-6404 | 5089 Mount Ida Rd Luverne AL 36049-4115 Ph: (443) 987-6404 |
NPI Number | 1922658558 |
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Provider Enumeration Date | 09/16/2019 |
Last Update Date | 12/16/2019 |
Certification Date | 12/16/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922658558 | NPI | - | NPPES |
1922658558 | Other | ELIZABETH CLEMONS MENTAL HEALTH COUNSELLING SERVICES, LLC. | |
1922658558 | Other | BCBCS- AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |