| River Oaks Psychiatry And Counseling | |
|
2209 9th St Tuscaloosa AL 35401-2300 | |
| (205) 650-0426 | |
| Not Available |
| Full Name | River Oaks Psychiatry And Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 2209 9th St, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Randy Phillips (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2053913131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Oaks Psychiatry And Counseling Po Box 2190 Tuscaloosa AL 35403-2190 Ph: () - | River Oaks Psychiatry And Counseling 2209 9th St Tuscaloosa AL 35401-2300 Ph: (205) 650-0426 |
| NPI Number | 1144710104 |
|---|---|
| Provider Enumeration Date | 05/15/2018 |
| Last Update Date | 05/15/2018 |
| Medicare PECOS PAC ID | 2264782234 |
|---|---|
| Medicare Enrollment ID | O20180912002978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144710104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Katie F Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942909155 PECOS PAC ID: 7214301746 Enrollment ID: I20230323000394 |
| Provider Name | Laura W Reeves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932447125 PECOS PAC ID: 5294971875 Enrollment ID: I20230525002660 |
| Provider Name | Grace Lancaster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215627591 PECOS PAC ID: 3678931300 Enrollment ID: I20230628000252 |
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