| Alabama Therapy Center, Pc | |
|
38 Southmont Dr Tuscaloosa AL 35405-4162 | |
| (205) 614-0415 | |
| Not Available |
| Full Name | Alabama Therapy Center, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 38 Southmont Dr, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Christine M Clark (PRESIDENT/CEO) |
| Authorized Official Contact | 2056140415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alabama Therapy Center, Pc 38 Southmont Dr Tuscaloosa AL 35405-4162 Ph: (205) 614-0415 | Alabama Therapy Center, Pc 38 Southmont Dr Tuscaloosa AL 35405-4162 Ph: (205) 614-0415 |
| NPI Number | 1598399776 |
|---|---|
| Provider Enumeration Date | 02/26/2020 |
| Last Update Date | 02/27/2020 |
| Certification Date | 02/27/2020 |
| Medicare PECOS PAC ID | 5395167779 |
|---|---|
| Medicare Enrollment ID | O20200613000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598399776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christine M Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063046068 PECOS PAC ID: 6204258684 Enrollment ID: I20200613000146 |
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