| John Wise, LPC | |
|
9064 Helena Rd, Pelham, AL 35124-2737 | |
| (205) 644-1166 | |
| (800) 514-9302 |
| Full Name | John Wise |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 9064 Helena Rd, Pelham, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033641824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2016 (Alabama) | Primary |
| Entity Name | Integrative Health Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417355504 PECOS PAC ID: 0648503615 Enrollment ID: O20190605003133 |
| Mailing Address | Practice Location Address |
|---|---|
| John Wise, LPC 9064 Helena Rd, Pelham, AL 35124-2737 Ph: (205) 644-1166 | John Wise, LPC 9064 Helena Rd, Pelham, AL 35124-2737 Ph: (205) 644-1166 |
Reem Abu-baker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 County Services Dr, Pelham, AL 35124 Phone: 205-651-0077 | |
Richelle Shante Howard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 250b Yeager Pkwy, Pelham, AL 35124 Phone: 256-892-5203 | |
Mrs. Linda M Story, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2867 Pelham Pkwy, Pelham, AL 35124 Phone: 205-663-2779 Fax: 205-663-6925 | |
Dana D King, Counselor Medicare: Not Enrolled in Medicare Practice Location: 168 Canyon Trl, Pelham, AL 35124 Phone: 205-718-6060 | |
Carly Curtis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 County Services Dr, Pelham, AL 35124 Phone: 205-668-4308 Fax: 205-668-0894 | |
Ms. Leska M Roberson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1940 Highway 33 Unit A, Pelham, AL 35124 Phone: 056-644-0102 Fax: 205-664-9928 |