| New Chapter Space, Llc | |
|
2450 Old Shell Rd Ste B Mobile AL 36607-3020 | |
| (251) 431-2024 | |
| Not Available |
| Full Name | New Chapter Space, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2450 Old Shell Rd Ste B, Mobile, Alabama |
| Authorized Official Name and Position | Emily Ryan (OWNER) |
| Authorized Official Contact | 2514312024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Chapter Space, Llc 2450 Old Shell Rd Ste B Mobile AL 36607-3020 Ph: (251) 431-2024 | New Chapter Space, Llc 2450 Old Shell Rd Ste B Mobile AL 36607-3020 Ph: (251) 431-2024 |
| NPI Number | 1124770730 |
|---|---|
| Provider Enumeration Date | 01/25/2022 |
| Last Update Date | 02/10/2025 |
| Certification Date | 02/10/2025 |
| Medicare PECOS PAC ID | 1759829757 |
|---|---|
| Medicare Enrollment ID | O20240821000717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124770730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Emily Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114118148 PECOS PAC ID: 8224119383 Enrollment ID: I20080115000141 |
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