| Treasured Moments Llc | |
|
2208 University Boulevard Suite #102 Birmingham AL 35233 | |
| (205) 837-1683 | |
| (205) 837-1683 |
| Full Name | Treasured Moments Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2208 University Boulevard Suite #102, Birmingham, Alabama |
| Authorized Official Name and Position | Amy Jo Allon (LICENSED INDEPENDENT CLINICAL SOCIA) |
| Authorized Official Contact | 2058371683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasured Moments Llc 3738 Maggies Drive Birmingham AL 35210 Ph: (205) 837-1683 | Treasured Moments Llc 2208 University Boulevard Suite #102 Birmingham AL 35233 Ph: (205) 837-1683 |
| NPI Number | 1679045751 |
|---|---|
| Provider Enumeration Date | 12/29/2018 |
| Last Update Date | 10/12/2022 |
| Certification Date | 10/12/2022 |
| Medicare PECOS PAC ID | 7315288701 |
|---|---|
| Medicare Enrollment ID | O20190411003016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679045751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amy Jo Allon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144368788 PECOS PAC ID: 5799876124 Enrollment ID: I20110608000645 |
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