| Cullman Psychiatry & Wellness, Llc | |
|
417 3rd Ave Sw Cullman AL 35055 | |
| (256) 297-3215 | |
| Not Available |
| Full Name | Cullman Psychiatry & Wellness, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 417 3rd Ave Sw, Cullman, Alabama |
| Authorized Official Name and Position | Ali Anderson Adams (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 2057062630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cullman Psychiatry & Wellness, Llc 417 3rd Ave Sw Cullman AL 35055 Ph: () - | Cullman Psychiatry & Wellness, Llc 417 3rd Ave Sw Cullman AL 35055 Ph: (256) 297-3215 |
| NPI Number | 1437923992 |
|---|---|
| Provider Enumeration Date | 11/14/2023 |
| Last Update Date | 12/27/2023 |
| Certification Date | 12/27/2023 |
| Medicare PECOS PAC ID | 2860844123 |
|---|---|
| Medicare Enrollment ID | O20240123001040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437923992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kathy Hyatt Tanner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639271844 PECOS PAC ID: 7214935394 Enrollment ID: I20061128000326 |
| Provider Name | Mary Katherine Leonard Thrower |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578973954 PECOS PAC ID: 4385931450 Enrollment ID: I20180910002460 |
| Provider Name | Ali Anderson Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528682804 PECOS PAC ID: 4587082276 Enrollment ID: I20200911002054 |
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