Evolve Marriage & Family Therapy Llc | |
215 Richard Arrington Jr Blvd N Ste 407 Birmingham AL 35203-3723 | |
(205) 447-2220 | |
Not Available |
Full Name | Evolve Marriage & Family Therapy Llc |
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Speciality | Counselor |
Location | 215 Richard Arrington Jr Blvd N Ste 407, Birmingham, Alabama |
Authorized Official Name and Position | Daniel Seigel (OWNER) |
Authorized Official Contact | 2054472220 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Evolve Marriage & Family Therapy Llc 215 Richard Arrington Jr Blvd N Ste 407 Birmingham AL 35203-3723 Ph: () - | Evolve Marriage & Family Therapy Llc 215 Richard Arrington Jr Blvd N Ste 407 Birmingham AL 35203-3723 Ph: (205) 447-2220 |
NPI Number | 1467236091 |
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Provider Enumeration Date | 08/23/2023 |
Last Update Date | 08/23/2023 |
Certification Date | 08/23/2023 |
Medicare PECOS PAC ID | 7810335312 |
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Medicare Enrollment ID | O20240403001216 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467236091 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Daniel G Seigel |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1720323900 PECOS PAC ID: 8729426226 Enrollment ID: I20240403001383 |
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