| Bodenheimer Psychological & Counseling Center Llc | |
|
1523 Leighton Ave Anniston AL 36207-3828 | |
| (256) 236-0070 | |
| (256) 237-0079 |
| Full Name | Bodenheimer Psychological & Counseling Center Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1523 Leighton Ave, Anniston, Alabama |
| Authorized Official Name and Position | Lucile Bodenheimer (LICENSED CLINICAL PSYCHOLGIST OWNER) |
| Authorized Official Contact | 2562360070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bodenheimer Psychological & Counseling Center Llc Po Box 952 Anniston AL 36202-0952 Ph: (256) 236-0070 | Bodenheimer Psychological & Counseling Center Llc 1523 Leighton Ave Anniston AL 36207-3828 Ph: (256) 236-0070 |
| NPI Number | 1972575272 |
|---|---|
| Provider Enumeration Date | 02/02/2006 |
| Last Update Date | 08/29/2007 |
| Medicare PECOS PAC ID | 3971498932 |
|---|---|
| Medicare Enrollment ID | O20040218000590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972575272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 978 (Alabama) | Primary |
| Provider Name | Lucile Bodenheimer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144405531 PECOS PAC ID: 9032001151 Enrollment ID: I20040325000717 |
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