| Limestone Behavioral Health Services, Inc | |
|
204 Alabama Ave Sw Fort Payne AL 35967-1953 | |
| (256) 979-1777 | |
| (855) 395-0843 |
| Full Name | Limestone Behavioral Health Services, Inc |
|---|---|
| Speciality | Counselor |
| Location | 204 Alabama Ave Sw, Fort Payne, Alabama |
| Authorized Official Name and Position | Cheyenne Whisenant (DIRECTOR) |
| Authorized Official Contact | 7703145172 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Limestone Behavioral Health Services, Inc 675 County Road 57 Pisgah AL 35765-8335 Ph: (770) 314-5172 | Limestone Behavioral Health Services, Inc 204 Alabama Ave Sw Fort Payne AL 35967-1953 Ph: (256) 979-1777 |
| NPI Number | 1023630134 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 05/12/2020 |
| Certification Date | 05/12/2020 |
| Medicare PECOS PAC ID | 4385034677 |
|---|---|
| Medicare Enrollment ID | O20211130002327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023630134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Richard E Grant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790942571 PECOS PAC ID: 8921177320 Enrollment ID: I20090724000592 |
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