Mrs Vevelyn Peterson Wilson, | |
Po Box 235, Gardendale, AL 35071-0235 | |
(205) 639-9039 | |
Not Available |
Full Name | Mrs Vevelyn Peterson Wilson |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | Po Box 235, Gardendale, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831947746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4081C (Alabama) | Primary |
Entity Name | Premier Mental Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043766009 PECOS PAC ID: 8123467610 Enrollment ID: O20240417000411 |
Entity Name | Transformative Grief Counseling Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700629755 PECOS PAC ID: 1153867551 Enrollment ID: O20240722002856 |
Mailing Address | Practice Location Address |
---|---|
Mrs Vevelyn Peterson Wilson, Po Box 235, Gardendale, AL 35071-0235 Ph: (205) 693-9039 | Mrs Vevelyn Peterson Wilson, Po Box 235, Gardendale, AL 35071-0235 Ph: (205) 639-9039 |
Caron Renee Sandefur, LICSW-S PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1501 Decatur Hwy Ste 101, Gardendale, AL 35071 Phone: 205-914-6794 | |
Rebecca Moerbe, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 467 Gowins Dr, Gardendale, AL 35071 Phone: 205-919-5312 |