| Mt. Lakes Behavioral Healthcare | |
|
2409 Homer Clayton Dr Guntersville AL 35976-2207 | |
| (256) 582-3203 | |
| (256) 582-3216 |
| Full Name | Mt. Lakes Behavioral Healthcare |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2409 Homer Clayton Dr, Guntersville, Alabama |
| Authorized Official Name and Position | Myron Gargis (INTERMIN EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2565824240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt. Lakes Behavioral Healthcare 2409 Homer Clayton Dr Guntersville AL 35976-2207 Ph: (256) 582-3203 | Mt. Lakes Behavioral Healthcare 2409 Homer Clayton Dr Guntersville AL 35976-2207 Ph: (256) 582-3203 |
| NPI Number | 1568495588 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 10/18/2010 |
| Medicare PECOS PAC ID | 4880596063 |
|---|---|
| Medicare Enrollment ID | O20040127000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568495588 | NPI | - | NPPES |
| 510081221 | Other | AL | BCBS ALLKIDS |
| 528400680 | Other | AL | MCR/MCD CROSSOVER GROUP # |
| 590000013 | Medicaid | AL | |
| 1568495588 | Other | AL | UBH PROVIDER |
| 330000013 | Medicaid | AL | |
| 330034013 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Melinda P Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679759146 PECOS PAC ID: 0547348823 Enrollment ID: I20080428000369 |
| Provider Name | Sarah Louise Boxley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740452176 PECOS PAC ID: 8224100185 Enrollment ID: I20080709000507 |
| Provider Name | Joshua J Oglehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811338999 PECOS PAC ID: 0648408229 Enrollment ID: I20140103000708 |
| Provider Name | Belinda K Herring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588830582 PECOS PAC ID: 7810069069 Enrollment ID: I20160620001735 |
| Provider Name | Melinda Sutton-griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417323452 PECOS PAC ID: 7517250152 Enrollment ID: I20160720001082 |
| Provider Name | Kimberley Croley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356909956 PECOS PAC ID: 4284028838 Enrollment ID: I20220225000663 |
| Provider Name | Sarah E Dettweiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447652037 PECOS PAC ID: 4587051677 Enrollment ID: I20220419002523 |
| Provider Name | David M Holmes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124039979 PECOS PAC ID: 0345693487 Enrollment ID: I20240125001375 |
North Alabama Counseling Center Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1612 Railroad Ave, Guntersville, AL 35976 Phone: 256-582-8880 Fax: 256-582-8890 | |
Ciaccio Psychiatry Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8000 Al Highway 69, Guntersville, AL 35976 Phone: 256-571-8722 | |
Mt. Lakes Behavioral Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Homer Clayton Dr, Guntersville, AL 35976 Phone: 256-582-3203 Fax: 256-582-3216 | |
Lake Guntersville Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1724 Gunter Ave Ste B, Guntersville, AL 35976 Phone: 256-506-4308 | |
Center For Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1510 Gunter Ave, Guntersville, AL 35976 Phone: 256-582-8833 Fax: 256-582-8335 | |
Neurology Of Marshall County Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7938 Al Highway 69 Ste 130, Guntersville, AL 35976 Phone: 256-571-8830 Fax: 256-571-8842 |