Warren Behavioral Care, Inc | |
889 Elba Hwy Troy AL 36079-6017 | |
(334) 808-8991 | |
(334) 808-8995 |
Full Name | Warren Behavioral Care, Inc |
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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 |
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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 |
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Provider Enumeration Date | 07/10/2007 |
Last Update Date | 04/20/2008 |
Medicare PECOS PAC ID | 2668488750 |
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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 |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1023058161 PECOS PAC ID: 6002822194 Enrollment ID: I20061011000797 |
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