| Kenton Bartlett Llc | |
|
4517 Pine Tree Cir Ste 7 Vestavia AL 35243-2307 | |
| (205) 862-2559 | |
| Not Available |
| Full Name | Kenton Bartlett Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4517 Pine Tree Cir Ste 7, Vestavia, Alabama |
| Authorized Official Name and Position | Kenton Woodard Bartlett (OWNER) |
| Authorized Official Contact | 2058622559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenton Bartlett Llc 2209 Lynnchester Cir Vestavia Hills AL 35216-5203 Ph: (205) 862-2559 | Kenton Bartlett Llc 4517 Pine Tree Cir Ste 7 Vestavia AL 35243-2307 Ph: (205) 862-2559 |
| NPI Number | 1114591401 |
|---|---|
| Provider Enumeration Date | 05/19/2021 |
| Last Update Date | 05/19/2021 |
| Certification Date | 05/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114591401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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