| Kristin Wakefield Counseling, Llc | |
|
57 Livingstone Ln Decatur AL 35603-5752 | |
| (256) 221-5656 | |
| Not Available |
| Full Name | Kristin Wakefield Counseling, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 57 Livingstone Ln, Decatur, Alabama |
| Authorized Official Name and Position | Kristin Wakefield (OWNER) |
| Authorized Official Contact | 2562215656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Wakefield Counseling, Llc 57 Livingstone Ln Decatur AL 35603-5752 Ph: () - | Kristin Wakefield Counseling, Llc 57 Livingstone Ln Decatur AL 35603-5752 Ph: (256) 221-5656 |
| NPI Number | 1124804505 |
|---|---|
| Provider Enumeration Date | 09/01/2023 |
| Last Update Date | 09/01/2023 |
| Certification Date | 09/01/2023 |
| Medicare PECOS PAC ID | 6507218161 |
|---|---|
| Medicare Enrollment ID | O20240118003776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124804505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kristin G Wakefield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811392152 PECOS PAC ID: 8820311376 Enrollment ID: I20150108001133 |
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