| Ligare, Llc | |
|
2431 E Glenn Ave Ste 400 Auburn AL 36830-6419 | |
| (334) 377-4900 | |
| (334) 377-4901 |
| Full Name | Ligare, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2431 E Glenn Ave Ste 400, Auburn, Alabama |
| Authorized Official Name and Position | Jennings B Haynes (OWNER) |
| Authorized Official Contact | 3343774900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ligare, Llc 2431 E Glenn Ave Ste 400 Auburn AL 36830-6419 Ph: (334) 377-4900 | Ligare, Llc 2431 E Glenn Ave Ste 400 Auburn AL 36830-6419 Ph: (334) 377-4900 |
| NPI Number | 1730687237 |
|---|---|
| Provider Enumeration Date | 01/30/2018 |
| Last Update Date | 01/30/2018 |
| Medicare PECOS PAC ID | 2062760515 |
|---|---|
| Medicare Enrollment ID | O20180731003658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730687237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1951 (Alabama) | Primary |
| Provider Name | Jennings B Haynes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023354990 PECOS PAC ID: 7911226782 Enrollment ID: I20150428002053 |
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