| Stillwell Mental Health Llc | |
|
5501 Highway 280 Ste 302 Birmingham AL 35242-6536 | |
| (205) 203-9111 | |
| Not Available |
| Full Name | Stillwell Mental Health Llc |
|---|---|
| Speciality | Counselor |
| Location | 5501 Highway 280 Ste 302, Birmingham, Alabama |
| Authorized Official Name and Position | Benjamin Stillwell (OWNER) |
| Authorized Official Contact | 2052039111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwell Mental Health Llc 5501 Highway 280 Ste 302 Birmingham AL 35242-6536 Ph: (205) 203-9111 | Stillwell Mental Health Llc 5501 Highway 280 Ste 302 Birmingham AL 35242-6536 Ph: (205) 203-9111 |
| NPI Number | 1508489428 |
|---|---|
| Provider Enumeration Date | 05/27/2020 |
| Last Update Date | 05/27/2020 |
| Certification Date | 05/27/2020 |
| Medicare PECOS PAC ID | 1557709557 |
|---|---|
| Medicare Enrollment ID | O20240410001706 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508489428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Benjamin Stillwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578050373 PECOS PAC ID: 2466890462 Enrollment ID: I20240410002395 |
| Provider Name | Lindsay Parker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952977373 PECOS PAC ID: 7517307713 Enrollment ID: I20240506000992 |
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