Telewellness Therapy, Llc | |
2408 Scepter Ln Hoover AL 35226-2902 | |
(205) 370-5156 | |
Not Available |
Full Name | Telewellness Therapy, Llc |
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Speciality | Psychologist |
Location | 2408 Scepter Ln, Hoover, Alabama |
Authorized Official Name and Position | Amanda Myers Campos (CLINICAL PSYCHOLOGIST/FOUNDER) |
Authorized Official Contact | 2053705156 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Telewellness Therapy, Llc 2408 Scepter Ln Hoover AL 35226-2902 Ph: (205) 370-5156 | Telewellness Therapy, Llc 2408 Scepter Ln Hoover AL 35226-2902 Ph: (205) 370-5156 |
NPI Number | 1528635851 |
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Provider Enumeration Date | 06/07/2021 |
Last Update Date | 07/09/2021 |
Certification Date | 07/09/2021 |
Medicare PECOS PAC ID | 5597165738 |
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Medicare Enrollment ID | O20210610000208 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528635851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Amanda Campos |
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Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1104170240 PECOS PAC ID: 6103124748 Enrollment ID: I20160414000542 |
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