| Unbroken Clinic Llc | |
|
101 Misty Forest Dr Phenix City AL 36869-3492 | |
| (229) 460-2361 | |
| (706) 287-1124 |
| Full Name | Unbroken Clinic Llc |
|---|---|
| Speciality | Counselor |
| Location | 101 Misty Forest Dr, Phenix City, Alabama |
| Authorized Official Name and Position | Carrie Player Sexton (OWNER/EMPLOYEE) |
| Authorized Official Contact | 3345457136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Unbroken Clinic Llc 101 Misty Forest Dr Phenix City AL 36869-3492 Ph: (229) 460-2361 | Unbroken Clinic Llc 101 Misty Forest Dr Phenix City AL 36869-3492 Ph: (229) 460-2361 |
| NPI Number | 1427760289 |
|---|---|
| Provider Enumeration Date | 12/22/2022 |
| Last Update Date | 12/22/2022 |
| Certification Date | 12/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427760289 | NPI | - | NPPES |
| 1376784587 | Medicaid | GA | |
| 1376269910 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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