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5151 Hampstead High St Ste 200 Montgomery AL 36116-6789 | |
| (334) 647-1047 | |
| (256) 719-3252 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5151 Hampstead High St Ste 200, Montgomery, Alabama |
| Authorized Official Name and Position | Tamekia Cathright (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3346471047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11816 Inwood Rd Ste 196 Dallas TX 75244-8011 Ph: (334) 647-1047 | 5151 Hampstead High St Ste 200 Montgomery AL 36116-6789 Ph: (334) 647-1047 |
| NPI Number | 1801400320 |
|---|---|
| Provider Enumeration Date | 09/02/2020 |
| Last Update Date | 12/15/2024 |
| Certification Date | 12/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801400320 | NPI | - | NPPES |
| 260295 | Medicaid | AL |
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