| Peulthai House | |
|
14881 231/431 Highway North Hazel Green AL 35750 | |
| (256) 813-5374 | |
| Not Available |
| Full Name | Peulthai House |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 14881 231/431 Highway North, Hazel Green, Alabama |
| Authorized Official Name and Position | Nearl Phillips (CHAIR) |
| Authorized Official Contact | 2568135374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peulthai House Po Box 184 Normal AL 35762-0184 Ph: (334) 498-9466 | Peulthai House 14881 231/431 Highway North Hazel Green AL 35750 Ph: (256) 813-5374 |
| NPI Number | 1225589872 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 10/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225589872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Engage Hope Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15240 Hwy 231 431 N, Hazel Green, AL 35750 Phone: 256-469-0606 |