| Warren Behavioral Care, Inc | |
|
889 Elba Hwy Troy AL 36079-6017 | |
| (334) 808-8991 | |
| (334) 808-8995 |
| Full Name | Warren Behavioral Care, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 889 Elba Hwy, Troy, Alabama |
| Authorized Official Name and Position | Fernelle Lekoyne Warren (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3348088991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Warren Behavioral Care, Inc Po Box 952 Troy AL 36081-0952 Ph: (334) 808-8991 | Warren Behavioral Care, Inc 889 Elba Hwy Troy AL 36079-6017 Ph: (334) 808-8991 |
| NPI Number | 1043418098 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 2668488750 |
|---|---|
| Medicare Enrollment ID | O20060227000580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043418098 | NPI | - | NPPES |
| 61-00470 | Other | AL | UNITED HEALTHCARE SERVICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1357 (Alabama) | Primary |
| 103TC0700X | Psychologist - Clinical | PSY003090 (Georgia) | Secondary |
| Provider Name | Fernelle L Warren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023058161 PECOS PAC ID: 6002822194 Enrollment ID: I20061011000797 |
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East Central Mental Health Mental Retardation, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Cherry St, Troy, AL 36081 Phone: 334-566-6022 Fax: 334-566-5346 | |
East Central Mental Health Mental Retardation, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Cherry St, Troy, AL 36081 Phone: 334-566-6022 Fax: 334-566-5346 | |
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