| Icu Counseling And Mental Health Support Services, Llc | |
|
114 Esplanade Ave Mobile AL 36606-5057 | |
| (251) 545-9659 | |
| Not Available |
| Full Name | Icu Counseling And Mental Health Support Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 114 Esplanade Ave, Mobile, Alabama |
| Authorized Official Name and Position | Demetrius Smith (OWNER) |
| Authorized Official Contact | 2515459659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icu Counseling And Mental Health Support Services, Llc Po Box 40123 Mobile AL 36640-0123 Ph: (251) 545-9659 | Icu Counseling And Mental Health Support Services, Llc 114 Esplanade Ave Mobile AL 36606-5057 Ph: (251) 545-9659 |
| NPI Number | 1760051825 |
|---|---|
| Provider Enumeration Date | 06/23/2021 |
| Last Update Date | 08/30/2021 |
| Certification Date | 08/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760051825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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