| Emi Madison Boutique | |
|
3434 County Road 9 Vernon AL 35592-4957 | |
| (205) 292-7135 | |
| Not Available |
| Full Name | Emi Madison Boutique |
|---|---|
| Speciality | Social Worker |
| Location | 3434 County Road 9, Vernon, Alabama |
| Authorized Official Name and Position | Shelley Young Jone (OWNER) |
| Authorized Official Contact | 2052927135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emi Madison Boutique 3434 County Road 9 Vernon AL 35592-4957 Ph: (205) 292-7135 | Emi Madison Boutique 3434 County Road 9 Vernon AL 35592-4957 Ph: (205) 292-7135 |
| NPI Number | 1083412209 |
|---|---|
| Provider Enumeration Date | 03/04/2025 |
| Last Update Date | 03/04/2025 |
| Certification Date | 03/04/2025 |
| Medicare PECOS PAC ID | 0446773089 |
|---|---|
| Medicare Enrollment ID | O20250325001241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083412209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shelley Y Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689786667 PECOS PAC ID: 4082623046 Enrollment ID: I20060419000515 |
Northwest Alabama Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 2nd Ave Nw, Vernon, AL 35592 Phone: 205-695-9183 |