| The Samaritan Counseling Center, Inc. | |
|
2911 Zelda Rd Montgomery AL 36106-2648 | |
| (334) 262-7787 | |
| (334) 262-7795 |
| Full Name | The Samaritan Counseling Center, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 2911 Zelda Rd, Montgomery, Alabama |
| Authorized Official Name and Position | Katherine Adele Nixon (OPERATIONS MANAGER) |
| Authorized Official Contact | 3342627787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Samaritan Counseling Center, Inc. 2911 Zelda Rd Montgomery AL 36106-2648 Ph: (334) 262-7787 | The Samaritan Counseling Center, Inc. 2911 Zelda Rd Montgomery AL 36106-2648 Ph: (334) 262-7787 |
| NPI Number | 1326080003 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 10/09/2020 |
| Certification Date | 10/09/2020 |
| Medicare PECOS PAC ID | 7113922063 |
|---|---|
| Medicare Enrollment ID | O20070910000757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326080003 | NPI | - | NPPES |
| Provider Name | Daryl K Hamblin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992745988 PECOS PAC ID: 2860404571 Enrollment ID: I20060621000167 |
| Provider Name | Kwoneathia Boswell |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1447961784 PECOS PAC ID: 8426405739 Enrollment ID: I20231108001622 |
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