| Origins Counseling And Wellness | |
|
4351 Fair Meadow Ln Pike Road AL 36064-2603 | |
| (806) 517-8339 | |
| Not Available |
| Full Name | Origins Counseling And Wellness |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4351 Fair Meadow Ln, Pike Road, Alabama |
| Authorized Official Name and Position | Michael Dwight Hall (MANAGING PARTNER) |
| Authorized Official Contact | 8065178339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Origins Counseling And Wellness 4351 Fair Meadow Ln Pike Road AL 36064-2603 Ph: (806) 517-8339 | Origins Counseling And Wellness 4351 Fair Meadow Ln Pike Road AL 36064-2603 Ph: (806) 517-8339 |
| NPI Number | 1205595345 |
|---|---|
| Provider Enumeration Date | 12/16/2021 |
| Last Update Date | 12/16/2021 |
| Certification Date | 12/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205595345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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