| South Central Alabama Mental Health Board Inc | |
|
19815 Bay Branch Rd Andalusia AL 36420-9234 | |
| (334) 222-2525 | |
| (334) 222-4660 |
| Full Name | South Central Alabama Mental Health Board Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 19815 Bay Branch Rd, Andalusia, Alabama |
| Authorized Official Name and Position | Sabrina L Boddy (HUMAN RESOURCES DIRECTOR) |
| Authorized Official Contact | 3342222525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Central Alabama Mental Health Board Inc 19815 Bay Branch Rd Andalusia AL 36420-9234 Ph: (334) 222-2525 | South Central Alabama Mental Health Board Inc 19815 Bay Branch Rd Andalusia AL 36420-9234 Ph: (334) 222-2525 |
| NPI Number | 1194866905 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 06/07/2012 |
| Medicare PECOS PAC ID | 7517856024 |
|---|---|
| Medicare Enrollment ID | O20040312000808 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194866905 | NPI | - | NPPES |
| 1530342 | Other | AL | UBH BASIC |
| 1530343 | Other | AL | UBH PLUS |
| 330034001 | Medicaid | AL | |
| 590000001 | Medicaid | AL | |
| 241762513 | Other | AL | TRICARE |
| 331600588 | Medicaid | AL | |
| 591500029 | Medicaid | AL | |
| 591600029 | Medicaid | AL | |
| 9392546 | Other | AL | SHAW |
| 051008119 | Other | AL | BLUE CROSS AND BLUE SHIEL |
| 051527456 | Other | AL | BLUE CROSS ANDBLUE SHIELD |
| 330000001 | Medicaid | AL | |
| 008402000 | Medicaid | AL | |
| 331634588 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Shankar Yalamanchili |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558332569 PECOS PAC ID: 0547343311 Enrollment ID: I20080218000110 |
| Provider Name | Julie B Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699040329 PECOS PAC ID: 0547424194 Enrollment ID: I20120611000364 |
| Provider Name | Joshua B Eslami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376972950 PECOS PAC ID: 6305074014 Enrollment ID: I20131231001839 |
| Provider Name | Randi E Sellek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023487576 PECOS PAC ID: 2365876687 Enrollment ID: I20191219001560 |
| Provider Name | Eric L King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659750321 PECOS PAC ID: 6800224379 Enrollment ID: I20200316001373 |
| Provider Name | Julie Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760015374 PECOS PAC ID: 3072942481 Enrollment ID: I20200407000886 |
| Provider Name | Taylor Sides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508481698 PECOS PAC ID: 3870913601 Enrollment ID: I20201016001986 |
| Provider Name | Andrea Dezso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710581368 PECOS PAC ID: 8123432945 Enrollment ID: I20210205001148 |
| Provider Name | Leah B Larussa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750923447 PECOS PAC ID: 5193133890 Enrollment ID: I20210419001171 |
| Provider Name | Regina Hudson De Corona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962173781 PECOS PAC ID: 3072688043 Enrollment ID: I20211206001284 |
| Provider Name | Erica Shere' Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053885012 PECOS PAC ID: 6002207628 Enrollment ID: I20211215001219 |
| Provider Name | Aimee Michelle Sklenicka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306500475 PECOS PAC ID: 8426443771 Enrollment ID: I20220323001090 |
| Provider Name | Amanda Gail Sandlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659029312 PECOS PAC ID: 4486049780 Enrollment ID: I20220324000148 |
| Provider Name | James Daniel Hensel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023757937 PECOS PAC ID: 3971982067 Enrollment ID: I20220621000692 |
| Provider Name | Richard L Walden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992253082 PECOS PAC ID: 1254703929 Enrollment ID: I20230206001166 |
| Provider Name | Christine V Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003501875 PECOS PAC ID: 2466827472 Enrollment ID: I20230405000449 |
| Provider Name | Jared Knighting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790481604 PECOS PAC ID: 6608233481 Enrollment ID: I20230609001715 |
Covington Neurology & Sleep Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 E Three Notch St, Andalusia, AL 36420 Phone: 334-222-3700 Fax: 334-222-3720 | |
Southern Sleep Clinics Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 S Three Notch St, Andalusia, AL 36420 Phone: 334-222-3305 Fax: 334-222-3385 | |
Calloway Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Whatley St, Andalusia, AL 36420 Phone: 334-399-5371 | |
Andalusia Neurology Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 109 Medical Park Dr, Suite A, Andalusia, AL 36420 Phone: 334-222-2332 Fax: 334-222-2475 | |
South Central Al Mental Health Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19815 Bay Branch Rd, Andalusia, AL 36420 Phone: 334-222-2525 Fax: 334-222-4660 | |
Southern Counseling Group Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 614 W Bypass, Andalusia, AL 36420 Phone: 334-582-2273 |