| Behavioral Health Of Selma, Llc | |
|
1306 Old Orrville Rd Selma AL 36701-6931 | |
| (334) 877-3322 | |
| (334) 877-3322 |
| Full Name | Behavioral Health Of Selma, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1306 Old Orrville Rd, Selma, Alabama |
| Authorized Official Name and Position | Richard Steven Reynolds (LICENSED PSYCHOLOGIST / EXECUTIVE) |
| Authorized Official Contact | 3348773322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Of Selma, Llc 1306 Old Orrville Rd Selma AL 36701-6931 Ph: (334) 877-3322 | Behavioral Health Of Selma, Llc 1306 Old Orrville Rd Selma AL 36701-6931 Ph: (334) 877-3322 |
| NPI Number | 1013148634 |
|---|---|
| Provider Enumeration Date | 07/30/2009 |
| Last Update Date | 10/06/2009 |
| Medicare PECOS PAC ID | 5496809550 |
|---|---|
| Medicare Enrollment ID | O20090825000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013148634 | NPI | - | NPPES |
| 000113523 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 835 (Alabama) | Primary |
| Provider Name | Richard S Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124011721 PECOS PAC ID: 0042364192 Enrollment ID: I20090825000044 |
Dallas County Family Resource Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10096 Al Highway 14 W, Selma, AL 36701 Phone: 334-874-7785 | |
Uab Selma Family Medicine Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1023 Medical Center Pkwy, Suite 200, Selma, AL 36701 Phone: 334-875-4184 Fax: 334-874-3511 | |
Jericho Family Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2193 Broad St, Selma, AL 36701 Phone: 334-267-5313 | |
The Brant Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1624 Lapsley St, Selma, AL 36701 Phone: 334-300-1039 Fax: 334-528-0174 | |
Cahaba Center For Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1017 Medical Center Pkwy, Selma, AL 36701 Phone: 334-875-2100 Fax: 334-418-6540 | |
Vaughan Regional Medical Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 Medical Center Pkwy, Selma, AL 36701 Phone: 334-418-4100 |