| The Wellness Center Llc | |
|
3608 Highway 78 E Jasper AL 35501-8909 | |
| (205) 300-3577 | |
| Not Available |
| Full Name | The Wellness Center Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3608 Highway 78 E, Jasper, Alabama |
| Authorized Official Name and Position | Miranda Shae Handley (OWNER/OPERATOR) |
| Authorized Official Contact | 2057176050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wellness Center Llc 3608 Highway 78 E Jasper AL 35501-8909 Ph: (205) 300-3577 | The Wellness Center Llc 3608 Highway 78 E Jasper AL 35501-8909 Ph: (205) 300-3577 |
| NPI Number | 1083487862 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Medicare PECOS PAC ID | 4880044726 |
|---|---|
| Medicare Enrollment ID | O20231219001628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083487862 | NPI | - | NPPES |
| Provider Name | Miranda S Handley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083233308 PECOS PAC ID: 0941687354 Enrollment ID: I20220524000924 |
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