Mindful Mental Health Of Alabama Llc | |
300 N Dean Rd Ste 5-208 Auburn AL 36830-4404 | |
(888) 777-6945 | |
Not Available |
Full Name | Mindful Mental Health Of Alabama Llc |
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Speciality | Social Worker |
Location | 300 N Dean Rd Ste 5-208, Auburn, Alabama |
Authorized Official Name and Position | Jermaine Alexander (PRESIDENT) |
Authorized Official Contact | 7065368345 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mindful Mental Health Of Alabama Llc 3100 Gentian Blvd Ste 107i Columbus GA 31907-5641 Ph: (888) 777-6945 | Mindful Mental Health Of Alabama Llc 300 N Dean Rd Ste 5-208 Auburn AL 36830-4404 Ph: (888) 777-6945 |
NPI Number | 1093421737 |
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Provider Enumeration Date | 01/26/2023 |
Last Update Date | 01/26/2023 |
Certification Date | 01/26/2023 |
Medicare PECOS PAC ID | 4183081938 |
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Medicare Enrollment ID | O20230609000188 |
Identifier | Type | State | Issuer |
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1093421737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Bridget F Smith |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1801992912 PECOS PAC ID: 6800253659 Enrollment ID: I20230609000240 |
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