Lake Martin Family Therapy, Llc | |
393 Green St Alexander City AL 35010-1407 | |
(256) 625-9514 | |
(256) 825-6418 |
Full Name | Lake Martin Family Therapy, Llc |
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Speciality | Social Worker - Clinical |
Location | 393 Green St, Alexander City, Alabama |
Authorized Official Name and Position | Karen C. Lewis (MEMBER/OWNER) |
Authorized Official Contact | 2566259514 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lake Martin Family Therapy, Llc Po Box 911 Alexander City AL 35011-0911 Ph: (256) 625-9514 | Lake Martin Family Therapy, Llc 393 Green St Alexander City AL 35010-1407 Ph: (256) 625-9514 |
NPI Number | 1497904312 |
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Provider Enumeration Date | 09/16/2008 |
Last Update Date | 09/16/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497904312 | NPI | - | NPPES |
L 299 | Other | AL | ALABAMA BOARD OF EXAMINERS IN MARRIAGE & FAMILY THERAPY |
2121C | Other | AL | STATE OF ALABAMA BOARD OF SOCIAL WORK EXMAINERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2121C (Alabama) | Primary |
106H00000X | Marriage & Family Therapist | L 299 (Alabama) | Secondary |
Healing Hearts Professional Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 Cherokee Rd, Alexander City, AL 35010 Phone: 334-329-0553 | |
Central Alabama Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3368 Highway 280 Ste G18, Alexander City, AL 35010 Phone: 256-329-3399 Fax: 256-329-3344 |