| Southeastern Psychiatric Management, Inc | |
|
701 Gault Avenue Ste B Ft Payne AL 35967-2627 | |
| (256) 845-8227 | |
| (256) 845-8226 |
| Full Name | Southeastern Psychiatric Management, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 701 Gault Avenue, Ft Payne, Alabama |
| Authorized Official Name and Position | Joy R Ballenger (CREDENTIALING NETWORK MANAGER) |
| Authorized Official Contact | 2565469265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Psychiatric Management, Inc 3001 Scenic Hwy Gadsden AL 35904-3047 Ph: (256) 546-9265 | Southeastern Psychiatric Management, Inc 701 Gault Avenue Ste B Ft Payne AL 35967-2627 Ph: (256) 845-8227 |
| NPI Number | 1154485647 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 03/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154485647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |