| Sunshine Mental Wellness Inc | |
|
2128 6th Ave Se Ste 501 Decatur AL 35601-6563 | |
| (256) 345-4492 | |
| Not Available |
| Full Name | Sunshine Mental Wellness Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2128 6th Ave Se Ste 501, Decatur, Alabama |
| Authorized Official Name and Position | Laura Graham (PRESIDENT/OWNER) |
| Authorized Official Contact | 2568222002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Mental Wellness Inc 2128 6th Ave Se Ste 501 Decatur AL 35601-6563 Ph: (256) 822-2002 | Sunshine Mental Wellness Inc 2128 6th Ave Se Ste 501 Decatur AL 35601-6563 Ph: (256) 345-4492 |
| NPI Number | 1245889609 |
|---|---|
| Provider Enumeration Date | 09/09/2019 |
| Last Update Date | 10/13/2019 |
| Medicare PECOS PAC ID | 9537595699 |
|---|---|
| Medicare Enrollment ID | O20200901003261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245889609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Laura A Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730587551 PECOS PAC ID: 1456679406 Enrollment ID: I20150423000846 |
| Provider Name | Leah Barrier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306047683 PECOS PAC ID: 5890188296 Enrollment ID: I20220208000573 |
| Provider Name | William John Crain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649890286 PECOS PAC ID: 4082077979 Enrollment ID: I20230824003020 |
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