| Lifecare Wellness Counseling Llc | |
|
1830 4th St Tuscaloosa AL 35401-1529 | |
| (205) 579-9299 | |
| (205) 579-9290 |
| Full Name | Lifecare Wellness Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 1830 4th St, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Jingbiao Wang (OFFICE MANAGER) |
| Authorized Official Contact | 2055799299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifecare Wellness Counseling Llc 1830 4th St Tuscaloosa AL 35401-1529 Ph: () - | Lifecare Wellness Counseling Llc 1830 4th St Tuscaloosa AL 35401-1529 Ph: (205) 579-9299 |
| NPI Number | 1851036495 |
|---|---|
| Provider Enumeration Date | 04/28/2022 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/08/2024 |
| Medicare PECOS PAC ID | 3779961370 |
|---|---|
| Medicare Enrollment ID | O20220610001211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851036495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Darlene H Terry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902995046 PECOS PAC ID: 4880979376 Enrollment ID: I20220613001631 |
| Provider Name | Katie F Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942909155 PECOS PAC ID: 7214301746 Enrollment ID: I20230323000394 |
| Provider Name | Randall Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366030124 PECOS PAC ID: 9830563105 Enrollment ID: I20230328002251 |
| Provider Name | Melissa B Nippert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124305081 PECOS PAC ID: 5294177366 Enrollment ID: I20240522000312 |
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