| 4thekids Support Services Llc | |
|
110 Yellowleaf Dr Enterprise AL 36330-2263 | |
| (334) 390-1002 | |
| (888) 326-3480 |
| Full Name | 4thekids Support Services Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 110 Yellowleaf Dr, Enterprise, Alabama |
| Authorized Official Name and Position | Karen Pridgen (PRESIDENT) |
| Authorized Official Contact | 3343901002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4thekids Support Services Llc 110 Yellowleaf Dr Enterprise AL 36330-2263 Ph: (334) 390-1002 | 4thekids Support Services Llc 110 Yellowleaf Dr Enterprise AL 36330-2263 Ph: (334) 390-1002 |
| NPI Number | 1730477159 |
|---|---|
| Provider Enumeration Date | 07/19/2011 |
| Last Update Date | 07/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730477159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 847 (Alabama) | Primary |
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