| Managing Mischief, Llc | |
|
1210 Rucker Blvd Enterprise AL 36330-3625 | |
| (334) 370-4435 | |
| Not Available |
| Full Name | Managing Mischief, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1210 Rucker Blvd, Enterprise, Alabama |
| Authorized Official Name and Position | Samantha Dansby (LPC) |
| Authorized Official Contact | 3343704435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Managing Mischief, Llc 1210 Rucker Blvd Enterprise AL 36330-3625 Ph: (334) 370-4435 | Managing Mischief, Llc 1210 Rucker Blvd Enterprise AL 36330-3625 Ph: (334) 370-4435 |
| NPI Number | 1386463008 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386463008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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