| Neurogenesis Llc | |
|
1115 Church St Nw Ste J Huntsville AL 35801-5980 | |
| (605) 484-0560 | |
| Not Available |
| Full Name | Neurogenesis Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1115 Church St Nw Ste J, Huntsville, Alabama |
| Authorized Official Name and Position | Justine Ashokar (PSYCHOLOGIST) |
| Authorized Official Contact | 6054840560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurogenesis Llc 10319 Picadilly Ln Sw Huntsville AL 35803-2050 Ph: (605) 484-0560 | Neurogenesis Llc 1115 Church St Nw Ste J Huntsville AL 35801-5980 Ph: (605) 484-0560 |
| NPI Number | 1558016840 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 09/21/2022 |
| Certification Date | 09/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558016840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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