| Fertile Ground, Llc | |
|
333 Cromwell Maylene AL 35114-5462 | |
| (205) 378-9261 | |
| Not Available |
| Full Name | Fertile Ground, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 333 Cromwell, Maylene, Alabama |
| Authorized Official Name and Position | Ashley E Dixon (COUNSELOR/THERAPIST) |
| Authorized Official Contact | 2053789261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fertile Ground, Llc 333 Cromwell Maylene AL 35114-5462 Ph: (205) 378-9261 | Fertile Ground, Llc 333 Cromwell Maylene AL 35114-5462 Ph: (205) 378-9261 |
| NPI Number | 1962256651 |
|---|---|
| Provider Enumeration Date | 04/17/2024 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962256651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |