Lifecare Wellness Counseling Llc | |
1830 4th St Tuscaloosa AL 35401-1529 | |
(205) 579-9299 | |
(205) 579-9290 |
Full Name | Lifecare Wellness Counseling Llc |
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Speciality | Counselor |
Location | 1830 4th St, Tuscaloosa, Alabama |
Authorized Official Name and Position | Jingbiao Wang (OFFICE MANAGER) |
Authorized Official Contact | 2055799299 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lifecare Wellness Counseling Llc 1830 4th St Tuscaloosa AL 35401-1529 Ph: () - | Lifecare Wellness Counseling Llc 1830 4th St Tuscaloosa AL 35401-1529 Ph: (205) 579-9299 |
NPI Number | 1851036495 |
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Provider Enumeration Date | 04/28/2022 |
Last Update Date | 03/08/2024 |
Certification Date | 03/08/2024 |
Medicare PECOS PAC ID | 3779961370 |
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Medicare Enrollment ID | O20220610001211 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851036495 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Darlene H Terry |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902995046 PECOS PAC ID: 4880979376 Enrollment ID: I20220613001631 |
Provider Name | Randall Campbell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1366030124 PECOS PAC ID: 9830563105 Enrollment ID: I20230328002251 |
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