| Enterprise Mental Health, Llc | |
|
117 S Main St Enterprise AL 36330-2542 | |
| (334) 447-1717 | |
| Not Available |
| Full Name | Enterprise Mental Health, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 117 S Main St, Enterprise, Alabama |
| Authorized Official Name and Position | Samantha Moore Booker (OWNER & COUNSELOR) |
| Authorized Official Contact | 3344471717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enterprise Mental Health, Llc 117 S Main St Enterprise AL 36330-2542 Ph: (334) 447-1717 | Enterprise Mental Health, Llc 117 S Main St Enterprise AL 36330-2542 Ph: (334) 447-1717 |
| NPI Number | 1275105223 |
|---|---|
| Provider Enumeration Date | 07/10/2021 |
| Last Update Date | 07/10/2021 |
| Certification Date | 07/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275105223 | NPI | - | NPPES |
| 1093325268 | Other | AL | NPI |
| 1417474776 | Other | AL | NPI |
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