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1572 Montgomery Hwy Ste 201 Hoover AL 35216-4520 | |
| (205) 730-6840 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1572 Montgomery Hwy Ste 201, Hoover, Alabama |
| Authorized Official Name and Position | Diamond Kinermon (OWNER) |
| Authorized Official Contact | 1312286557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2327 Pentland Dr Birmingham AL 35235-2060 Ph: (205) 730-6840 | 1572 Montgomery Hwy Ste 201 Hoover AL 35216-4520 Ph: (205) 730-6840 |
| NPI Number | 1275301293 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 11/25/2024 |
| Certification Date | 11/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275301293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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