| Represent Wellness Llc | |
|
611 28th Ave Tuscaloosa AL 35401-1715 | |
| (205) 409-8248 | |
| Not Available |
| Full Name | Represent Wellness Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 611 28th Ave, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Melanie Sharonda Brunner (OWNER/LEAD THERAPIST) |
| Authorized Official Contact | 2058614144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Represent Wellness Llc 3920 Watermelon Rd Apt B Northport AL 35473-5183 Ph: (205) 861-4144 | Represent Wellness Llc 611 28th Ave Tuscaloosa AL 35401-1715 Ph: (205) 409-8248 |
| NPI Number | 1881271211 |
|---|---|
| Provider Enumeration Date | 03/24/2021 |
| Last Update Date | 04/15/2021 |
| Certification Date | 04/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881271211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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