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524 Huffman Rd Birmingham AL 35215-8300 | |
| (205) 994-4563 | |
| (205) 206-7131 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 524 Huffman Rd, Birmingham, Alabama |
| Authorized Official Name and Position | Cherie D May (OWNER) |
| Authorized Official Contact | 2059944563 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
524 Huffman Rd Birmingham AL 35215-8300 Ph: (205) 994-4563 | 524 Huffman Rd Birmingham AL 35215-8300 Ph: (205) 994-4563 |
| NPI Number | 1043578362 |
|---|---|
| Provider Enumeration Date | 04/24/2012 |
| Last Update Date | 01/10/2024 |
| Certification Date | 01/10/2024 |
| Medicare PECOS PAC ID | 1658720578 |
|---|---|
| Medicare Enrollment ID | O20231218000858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043578362 | NPI | - | NPPES |
| 190050 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2744 (Alabama) | Primary |
| Provider Name | Cherie Denise May |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104106434 PECOS PAC ID: 5294184115 Enrollment ID: I20240129001755 |
| Provider Name | Pamela Jenkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649826223 PECOS PAC ID: 0446694905 Enrollment ID: I20240223000473 |
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